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NPI Code Detail

MEDICARE: DR. ERIC LOPEZ DDS

MEDICARE:  DR. ERIC  LOPEZ  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 Dentistry21799OH

General Provider Information

NPI Number : 1962816983
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIC LOPEZ DDS
Provider Business Mailing Address
First Line : 7540 READING RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45237-3233
Country : US
Telephone Number : 513-821-3118
Fax Number : 513-821-5219
Provider Business Practice Location Address
First Line : 7540 READING RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45237-3233
Country : US
Telephone Number : 513-821-3118
Fax Number : 513-821-5219
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2014
Last Update Date : 12/10/2019

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Directions to “ DR. ERIC LOPEZ DDS” Practice Location

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