Healthcare Provider Details

I. General information

NPI: 1215849633
Provider Name (Legal Business Name): CHAHINE DENTAL GROUP, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1921 HILLIARD ROME RD
HILLIARD OH
43026-7920
US

IV. Provider business mailing address

1921 HILLIARD ROME RD
HILLIARD OH
43026-7920
US

V. Phone/Fax

Practice location:
  • Phone: 614-777-8668
  • Fax:
Mailing address:
  • Phone: 614-777-8668
  • 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: BRANDY SHIPP
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 740-221-2917