NPI 1891865507 · live from the CMS NPI Registry
Ashtabula Dental Associates, INC.
Dental Assistant in Ashtabula, OH. National Provider Identifier 1891865507, active.
NPI record
| NPI | 1891865507 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dental Assistant 126800000X |
| Practice location | 5005 State Rd, Ashtabula, OH 44004 |
| Practice phone | 440-992-3146 |
| Enumerated | November 9, 2006 |
| Last updated | September 11, 2025 |
| Authorized official | William Sockman, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Endodontics | 1223E0200X | — |
| Dentist, General Practice | 1223G0001X | — |
| Dentist, Periodontics | 1223P0300X | — |
| Dentist, Oral and Maxillofacial Surgery | 1223S0112X | — |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | — |
| Dental Hygienist | 124Q00000X | — |
| Dental Assistant primary | 126800000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.