OrganizationActive
Sedon Dental Providers (medina), Inc.
NPI 1104019587 · Dentist · Medina, OH
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
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
5014 Grande Shops Ave
Medina, OH 44256
Phone: (330) 764-9290
Fax: (216) 584-1079
Street-level locationGet directions
Mailing address
7160 Dallas Pkwy Ste 400
Plano, TX 75024-7111
Other names (DBA / former)
- Doing business as
- Dentalworks of Medina
Registry dates
- Enumerated
- 2007-08-20
- Last updated
- 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.