Healthcare Provider Details

I. General information

NPI: 1891925020
Provider Name (Legal Business Name): LOUIS C. YAUSS, DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2009
Last Update Date: 07/22/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7779 COLERAIN AVE
CINCINNATI OH
45239-4582
US

IV. Provider business mailing address

7779 COLERAIN AVE
CINCINNATI OH
45239-4582
US

V. Phone/Fax

Practice location:
  • Phone: 513-521-6874
  • Fax:
Mailing address:
  • Phone: 513-521-6874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. RICHARD A YAUSS
Title or Position: PRESIDENT
Credential: DDS
Phone: 513-521-6874