Sedon Dental Providers (medina), Inc.
NPI 1104019587 · Dentist · Medina, OH
Sedon Dental Providers (medina), Inc. is a Dentist organization in Medina, OH (NPI 1104019587).
Provider details
- NPI number
- 1104019587
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Parent organization
- Dentalone Partners, Inc
- Organization subpart
- Yes
- Authorized official
- Rachel Nittinger, Manager Credentialing(972) 755-0816
- License
- 30.017399 (OH)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
- Pediatric Dentistry1223P0221X
Dental Providers
- Periodontics1223P0300X
Dental Providers
- Prosthodontics1223P0700X
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Dentalworks of Medina
Registry dates
- Enumerated
- 2007-08-20
- Last updated
- 2017-10-16
Frequently asked questions
- What is Sedon Dental Providers (medina), Inc.'s NPI number?
- Sedon Dental Providers (medina), Inc.'s National Provider Identifier (NPI) is 1104019587, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sedon Dental Providers (medina), Inc.?
- Sedon Dental Providers (medina), Inc. is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Sedon Dental Providers (medina), Inc. located?
- Sedon Dental Providers (medina), Inc.'s practice location on file with NPPES is 5014 Grande Shops Ave, Medina, OH 44256.
- What is Sedon Dental Providers (medina), Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Sedon Dental Providers (medina), Inc. is (330) 764-9290.
- Who is the authorized official for Sedon Dental Providers (medina), Inc.?
- The authorized official listed on Sedon Dental Providers (medina), Inc.'s NPPES record is Rachel Nittinger, Manager Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sedon Dental Providers (medina), Inc.'s NPI active?
- Yes — Sedon Dental Providers (medina), Inc.'s NPI (1104019587) is active in the NPPES registry as of the last update on 2017-10-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.