Healthcare Provider Details

I. General information

NPI: 1407212657
Provider Name (Legal Business Name): JOHN V UNGER DDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2016
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1270 EBENEZER RD
CINCINNATI OH
45233-4947
US

IV. Provider business mailing address

1270 EBENEZER RD
CINCINNATI OH
45233-4947
US

V. Phone/Fax

Practice location:
  • Phone: 419-367-4232
  • Fax:
Mailing address:
  • Phone: 419-367-4232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number30.024208
License Number StateOH

VIII. Authorized Official

Name: JOHN V UNGER
Title or Position: OWNER
Credential: DDS
Phone: 513-922-1455