=====================================================
General NPI Number Information
=====================================================
NPI Number | 1982401147
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GETTINGS FAMILY DENTAL, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/26/2025
-----------------------------------------------------
Last Update Date | 02/28/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10452 LOVELAND MADEIRA RD
-----------------------------------------------------
City | LOVELAND
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45140-9338
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-677-3656
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10452 LOVELAND MADEIRA RD
-----------------------------------------------------
City | LOVELAND
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45140-9338
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-677-3656
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DENTIST/OWNER
-----------------------------------------------------
Name | DR. NICOLE GETTINGS
-----------------------------------------------------
Credential | DDS
-----------------------------------------------------
Telephone | 419-733-1690
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223G0001X
-----------------------------------------------------
Taxonomy Name | General Practice Dentistry
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------