Provider Demographics
NPI:1851725741
Name:SPRINGFIELD DENTAL LLC, CHAHINE, PAPP & ASSOCIATES
Entity Type:Organization
Organization Name:SPRINGFIELD DENTAL LLC, CHAHINE, PAPP & ASSOCIATES
Other - Org Name:JUST SMILES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SCHOO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-777-8668
Mailing Address - Street 1:1780 N BECHTLE AVE STE B
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45504-1588
Mailing Address - Country:US
Mailing Address - Phone:937-340-1400
Mailing Address - Fax:937-340-1405
Practice Address - Street 1:1780 N BECHTLE AVE STE B
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45504-1588
Practice Address - Country:US
Practice Address - Phone:937-340-1400
Practice Address - Fax:937-340-1405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-27
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30023409122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0086511Medicaid