Healthcare Provider Details

I. General information

NPI: 1316862113
Provider Name (Legal Business Name): NEW RICHMOND FAMILY DENTISTRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1041 OLD US 52 STE H
NEW RICHMOND OH
45157-8501
US

IV. Provider business mailing address

6598 WYNDWATCH DR
CINCINNATI OH
45230-5266
US

V. Phone/Fax

Practice location:
  • Phone: 513-553-5333
  • Fax:
Mailing address:
  • Phone: 720-822-3502
  • 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: CHAD MALENFANT
Title or Position: VICE PRESIDENT
Credential:
Phone: 720-822-3502