Healthcare Provider Details

I. General information

NPI: 1134567712
Provider Name (Legal Business Name): JOSEPH ALEXANDER DAGHER DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/05/2013
Last Update Date: 06/12/2020
Certification Date: 06/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5954 CHEVIOT RD
CINCINNATI OH
45247-6245
US

IV. Provider business mailing address

5954 CHEVIOT RD
CINCINNATI OH
45247-6245
US

V. Phone/Fax

Practice location:
  • Phone: 513-385-5607
  • Fax: 513-385-5299
Mailing address:
  • Phone: 513-385-5607
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number30.023880
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: