Healthcare Provider Details

I. General information

NPI: 1659318731
Provider Name (Legal Business Name): JOHN J HELLMANN D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/31/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

476 RIDDLE RD
CINCINNATI OH
45220-2411
US

IV. Provider business mailing address

850 MIAMI RIDGE DR
LOVELAND OH
45140-8100
US

V. Phone/Fax

Practice location:
  • Phone: 513-281-8001
  • Fax:
Mailing address:
  • Phone: 513-583-1002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number30017063
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: