=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437792173
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALL SMILES DENTAL STUDIO OF CINCINNATI, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/25/2019
-----------------------------------------------------
Last Update Date | 11/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4530 EASTGATE BLVD STE 620
-----------------------------------------------------
City | CINCINNATI
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45245-1256
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-753-9111
-----------------------------------------------------
Fax | 513-214-1193
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4530 EASTGATE BLVD STE 620
-----------------------------------------------------
City | CINCINNATI
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45245-1256
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER / DENTIST
-----------------------------------------------------
Name | DR. ELIZABETH HANKS HORD
-----------------------------------------------------
Credential | DMD, MPH
-----------------------------------------------------
Telephone | 513-753-9111
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 122300000X
-----------------------------------------------------
Taxonomy Name | Dentist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------