Healthcare Provider Details

I. General information

NPI: 1013566116
Provider Name (Legal Business Name): SHARONVILLE FAMILY DENTAL MING YU DDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2019
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11440 LIPPELMAN RD
CINCINNATI OH
45246-4098
US

IV. Provider business mailing address

11440 LIPPELMAN RD
CINCINNATI OH
45246-4098
US

V. Phone/Fax

Practice location:
  • Phone: 513-771-9190
  • Fax:
Mailing address:
  • Phone: 513-771-9190
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: SABRINA CHIU
Title or Position: CREDENTIALING
Credential:
Phone: 740-580-2000