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General NPI Number Information
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NPI Number | 1932704996
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Entity Type | Organization
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Legal Business Name | CODY CHING DMD INC
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Dates
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Enumeration Date | 11/30/2020
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Last Update Date | 11/30/2020
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Provider Practice Location Address
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Address Line | 347 W SPRING ST
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City | CADIZ
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State | OH
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Zip | 43907-1045
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Country | US
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Telephone | 740-317-6555
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Fax |
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Provider Business Mailing Address
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Address Line | 157 FORESTVIEW DR
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City | WINTERSVILLE
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State | OH
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Zip | 43953-9044
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Country | US
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Telephone | 740-317-6655
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. CODY CHING
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Credential | DMD
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Telephone | 740-317-6655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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