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NPI Code Detail

MEDICARE: CINCINNATI DENTAL SERVICES

MEDICARE: CINCINNATI DENTAL SERVICES
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
11223G0001XGeneral Practice Dentistry14417OH

General Provider Information

NPI Number : 1427081116
Entity Type Code : Organization
Provider Name (Legal Business Name) : CINCINNATI DENTAL SERVICES
Provider Business Mailing Address
First Line : 3519 SOLUTIONS CTR
Second Line :
City : CHICAGO
State : IL
Zip : 60677-0001
Country : US
Telephone Number : 513-721-2444
Fax Number : 513-721-2398
Provider Business Practice Location Address
First Line : 121 E MCMILLAN ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45219-2606
Country : US
Telephone Number : 513-721-2444
Fax Number : 513-721-2398
Authorized Official
Title or Position : OFFICE MANAGER
Name : MR. FRED V WHITE, JR.
Credential :
Telephone Number : 513-721-2444
Provider Enumeration Date : 07/08/2006
Last Update Date : 09/16/2009

Similar Medicare Providers

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121 E MCMILLAN ST
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1265487409 — MARIA I BUSTAMANTE D.M.D.
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1013963602 — CONNIE D GAWRYCH D.D.S.
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1881633907 — JANE E HUESMAN D.D.S.
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1316986441 — JEFFREY W. CRAWFORD D.M.D.
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1538108014 — STEVEN C. JONES D.D.S.
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Practice Fax: 513-721-2398

Directions to “CINCINNATI DENTAL SERVICES ” Practice Location

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