Portage Dental Center in Ravenna - General Practice
Portage Dental Center - NPI 1316093024
Portage Dental Center is a General Practice in Ravenna, Ohio. Portage Dental Center practices all healthcare services and medical treatments related to General Practice. The NPI Number for Portage Dental Center is 1316093024. The last update date is 2014-02-19.
Portage Dental Center's current location address is 250 S Chestnut St Ste 30, Ravenna, Ohio. You can contact this provider via phone number 3302977009 and fax number 3302970901. The mailing address for Portage Dental Center is 250 S Chestnut St Ste 30, Ravenna, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Portage Dental Center |
|---|---|
| Address | 250 S Chestnut St Ste 30, Ravenna, Ohio |
| Phone Number | 3302977009 |
| Fax Number | 3302970901 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE ADM |
|---|---|
| Authorized Official Name | Harry Ann |
| Telephone Number | 3302977009 |
NPI Number Detail
| NPI Number | 1316093024 |
|---|---|
| Provider Enumeration Date | 2007-01-26 |
| Last Updated Date | 2014-02-19 |
Provider Mailing Address Detail
| Address | 250 S Chestnut St Ste 30 |
|---|---|
| City | Ravenna |
| State | Ohio (OH) |
| Post Code | 442663031 |
| Phone Number | 3302977009 |
| Fax Number | 3302970901 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 468597 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Portage Dental Center by the Centers for Medicare & Medicaid Services?
The Portage Dental Center has been assigned the NPI (National Provider Identifier) 1316093024 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Portage Dental Center is geographically located?
The Portage Dental Center is physically situated at the following location: 250 S Chestnut St Ste 30, Ravenna, OH, 442663031.
What is Portage Dental Center's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Portage Dental Center is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
When did the Portage Dental Center receive its 1316093024?
The Portage Dental Center was issued its 1316093024 on 2007-01-26, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Portage Dental Center most recently updated or revised?
The information pertaining to Portage Dental Center, including its address, specialty, and other relevant details, was last updated or revised on 2014-02-19.