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ADVANCED DENTAL CARE OF STREETSBORO
NPI 1801387972
Dentist - General Practice in Streetsboro, OH

Active since May 24, 2018
9305 MARKET SQUARE DR, STREETSBORO, OH 44241(330) 422-0011 Get Directions Write a Review

NPPES record last updated: August 29, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 29, 2019, May 24, 2018 (2 updates tracked since 2018).

About Advanced Dental Care Of Streetsboro NPPES

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

ADVANCED DENTAL CARE OF STREETSBORO (NPI 1801387972) is a healthcare organization registered as a general practice in Streetsboro, Ohio and active in the NPI registry since May 2018. The organization lists Cassandra Petersen, Credentialing Team Lead, as its authorized official.

NPPES Registry Identity

NPI1801387972
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameOHIO DENTAL PROFESSIONALS, DELISLE, P.C.
Location Address9305 MARKET SQUARE DRStreetsboro, OH 44241-5294
Mailing Address9305 Market Square DrStreetsboro, OH 44241-5294
Phone(330) 422-0011
Organization SubpartYes
Authorized OfficialCassandra PetersenCredentialing Team Lead · (217) 540-8972
Enumeration DateMay 24, 2018
Last NPPES UpdateAugust 29, 20192 updates tracked since enumeration
✔ NPI 1801387972 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.
9305 MARKET SQUARE DR, Streetsboro, OH 44241
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Other Names 1

Doing Business AsAdvanced Dental Care Of Streetsboro

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

WYATT ALLEN CROWELL DDS
Dentist (General Practice)
9305 MARKET SQUARE DR
STREETSBORO, OH 44241
Portage County (330) 422-0011
MRS. ELISA M CALOCA DMD
Dentist (General Practice)
9305 MARKET SQUARE DR
STREETSBORO, OH 44241
Portage County (330) 422-0011
KLIFF ENTERPRISES LLC
Audiologist-Hearing Aid Fitter
9305 MARKET SQUARE DR, SUITE B
STREETSBORO, OH 44241
Portage County (330) 422-1825

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 Ohio Dental Professionals, Delisle, P.C.'s NPI number?

The NPI number for Ohio Dental Professionals, Delisle, P.C. is 1801387972. It was assigned to this organization in the NPPES registry on May 24, 2018. The provider is doing business as Advanced Dental Care Of Streetsboro.

Where is Ohio Dental Professionals, Delisle, P.C. located?

Ohio Dental Professionals, Delisle, P.C. is located at 9305 Market Square Dr, Streetsboro, OH 44241. The listed phone number is (330) 422-0011.

What is Ohio Dental Professionals, Delisle, P.C.'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 Ohio Dental Professionals, Delisle, P.C. was last updated on August 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.