Healthcare Provider Details

I. General information

NPI: 1720915887
Provider Name (Legal Business Name): FOOKS DENTAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 N F ST
HAMILTON OH
45013-3075
US

IV. Provider business mailing address

101 E 4TH ST
NEWPORT KY
41071-1871
US

V. Phone/Fax

Practice location:
  • Phone: 513-887-7027
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM JACOB FOOKS
Title or Position: OWNER
Credential: DMD
Phone: 859-435-0909