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JUN A. SOETANTO DMD LLC
NPI 1942955216
Dentist - General Practice in Amherst, OH

Active since February 15, 2022
2266 KRESGE DR, AMHERST, OH 44001(440) 960-0090 Get Directions Write a Review

NPPES record last updated: February 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jun A. Soetanto Dmd Llc NPPES

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

JUN A. SOETANTO DMD LLC (NPI 1942955216), doing business as Amherst Neighborhood Dentistry, is a healthcare organization registered as a general practice in Amherst, Ohio and active in the NPI registry since February 2022. The organization lists Jun Soetanto, Owner, as its authorized official.

NPPES Registry Identity

NPI1942955216
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJUN A. SOETANTO DMD LLC
Location Address2266 KRESGE DRAmherst, OH 44001-1260
Mailing Address2266 Kresge DrAmherst, OH 44001-1260 · (440) 960-0090
Phone(440) 960-0090
Organization SubpartNo
Authorized OfficialJun SoetantoOwner · (484) 557-4808
Enumeration DateFebruary 15, 2022
NPPES CertifiedFebruary 15, 2022
✔ NPI 1942955216 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.
2266 KRESGE DR, Amherst, OH 44001
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Other Names 1

Doing Business AsAmherst Neighborhood Dentistry

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 2

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

PAUL VINCENT DANKO
Dentist
2266 KRESGE DR
AMHERST, OH 44001
Lorain County (440) 960-0090
DR. PAUL VINCENT DANKO D.D.S.
Dentist
2266 KRESGE DR
AMHERST, OH 44001
Lorain County (440) 960-0090

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 Jun A. Soetanto Dmd LLC's NPI number?

The NPI number for Jun A. Soetanto Dmd LLC is 1942955216. It was assigned to this organization in the NPPES registry on February 15, 2022. The provider is doing business as Amherst Neighborhood Dentistry.

Where is Jun A. Soetanto Dmd LLC located?

Jun A. Soetanto Dmd LLC is located at 2266 Kresge Dr, Amherst, OH 44001. The listed phone number is (440) 960-0090.

What is Jun A. Soetanto Dmd LLC'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 Jun A. Soetanto Dmd LLC was last updated on February 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.