Healthcare Provider Details

I. General information

NPI: 1275088866
Provider Name (Legal Business Name): ELIZABETH HANKS HORD DMD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ELIZABETH A HANKS DMD, MPH

II. Dates (important events)

Enumeration Date: 08/24/2016
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4452 EASTGATE BLVD STE 207
CINCINNATI OH
45245-1584
US

IV. Provider business mailing address

4452 EASTGATE BLVD STE 207
CINCINNATI OH
45245-1584
US

V. Phone/Fax

Practice location:
  • Phone: 513-753-9111
  • Fax: 513-214-1193
Mailing address:
  • Phone: 513-753-9111
  • Fax: 513-214-1193

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number9849
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number30.025626
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number30.025626
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: