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NPI Code Detail

MEDICARE: CLAIRE TONNIS DDS

MEDICARE:   CLAIRE  TONNIS  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
11223G0001XGeneral Practice Dentistry30.026821OH

General Provider Information

NPI Number : 1467190389
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLAIRE TONNIS DDS
Provider Business Mailing Address
First Line : 3812 AZIMUTH DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45251-1908
Country : US
Telephone Number : 513-969-3155
Fax Number :
Provider Business Practice Location Address
First Line : 3812 AZIMUTH DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45251-1908
Country : US
Telephone Number : 513-969-3155
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2022
Last Update Date : 05/20/2022

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Directions to “ CLAIRE TONNIS DDS” Practice Location

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