Healthcare Provider Details

I. General information

NPI: 1013060540
Provider Name (Legal Business Name): CINCYSMILES FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 08/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

635 W 7TH ST SUITE 405
CINCINNATI OH
45203-1513
US

IV. Provider business mailing address

635 W 7TH ST SUITE 405
CINCINNATI OH
45203-1513
US

V. Phone/Fax

Practice location:
  • Phone: 513-621-0248
  • Fax: 513-621-0288
Mailing address:
  • Phone: 513-621-0248
  • Fax: 513-621-0288

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. LAWRENCE F HILL
Title or Position: EXECUTIVE DIRECTOR
Credential: DDS,MPH
Phone: 513-621-0248