MEDICARE: DR. JOHN UNGER DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	30-024208	OH

General Provider Information

NPI Number	:	1063825388
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN UNGER DDS

Provider Business Mailing Address
First Line	:	1270 EBENEZER RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45233-4947
Country	:	US
Telephone Number	:	419-367-4232
Fax Number	:

Provider Business Practice Location Address
First Line	:	1270 EBENEZER RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45233-4947
Country	:	US
Telephone Number	:	513-922-1455
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2014
Last Update Date	:	10/12/2021

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