CD OHIO DERRICK KRUGER DDS, INC.
NPI 1720838550
Dentist - General Practice in Ashtabula, OH

Active since March 25, 2024
2010 W 19TH ST, ASHTABULA, OH 44004(440) 992-2700(440) 964-0542 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cd Ohio Derrick Kruger Dds, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CD OHIO DERRICK KRUGER DDS, INC. (NPI 1720838550), doing business as The Healthy Smile Center, is a healthcare organization registered as a general practice in Ashtabula, Ohio and active in the NPI registry since March 2024. The organization lists Ty Justice, Director, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1720838550
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCD OHIO DERRICK KRUGER DDS, INC.
Location Address2010 W 19TH STAshtabula, OH 44004-9709
Mailing Address9825 Kenwood Rd Ste 200Blue Ash, OH 45242-6252 · (513) 808-4984 · Fax (513) 448-0511
Fax(440) 964-0542
Organization SubpartNo
Authorized OfficialTy JusticeDirector, Credentialing · (513) 808-4984
Enumeration DateMarch 25, 2024
NPPES CertifiedMarch 25, 2024
NPI 1720838550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2010 W 19TH ST, Ashtabula, OH 44004

Other Names 1

Doing Business AsThe Healthy Smile Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
2010 W 19TH ST
ASHTABULA, OH 44004
Dentist (General Practice)
2010 W 19TH ST
ASHTABULA, OH 44004
Dentist (General Practice)
2010 W 19TH ST
ASHTABULA, OH 44004
Dentist (General Practice)
2010 W 19TH ST
ASHTABULA, OH 44004
Dentist (General Practice)
2010 W 19TH ST
ASHTABULA, OH 44004

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cd Ohio Derrick Kruger Dds, Inc.'s NPI number?

The NPI number for Cd Ohio Derrick Kruger Dds, Inc. is 1720838550. It was assigned to this organization in the NPPES registry on March 25, 2024. The provider is doing business as The Healthy Smile Center.

Where is Cd Ohio Derrick Kruger Dds, Inc. located?

Cd Ohio Derrick Kruger Dds, Inc. is located at 2010 W 19th St, Ashtabula, OH 44004. The listed phone number is (440) 992-2700.

What is Cd Ohio Derrick Kruger Dds, Inc.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Cd Ohio Derrick Kruger Dds, Inc. was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.