Healthcare Provider Details

I. General information

NPI: 1417679044
Provider Name (Legal Business Name): RANK O. DAWSON, JR., M. D.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2022
Last Update Date: 09/12/2022
Certification Date: 09/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4767 N BEND RD STE A
CINCINNATI OH
45211-1825
US

IV. Provider business mailing address

4767 N BEND RD STE A
CINCINNATI OH
45211-1825
US

V. Phone/Fax

Practice location:
  • Phone: 513-662-3500
  • Fax: 513-389-4751
Mailing address:
  • Phone: 513-662-3500
  • Fax: 513-389-4751

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RANK ORION DAWSON JR.
Title or Position: OWNER
Credential: MD
Phone: 513-662-3500