MEDICARE: DR. ELIZABETH HANKS HORD DMD, MPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	9849	KY
2	122300000X	Dentist	30.025626	OH
3	1223G0001X	General Practice Dentistry	30.025626	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275088866
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELIZABETH HANKS HORD DMD, MPH

Provider Business Mailing Address
First Line	:	4452 EASTGATE BLVD STE 207
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45245-1584
Country	:	US
Telephone Number	:	513-753-9111
Fax Number	:	513-214-1193

Provider Business Practice Location Address
First Line	:	4452 EASTGATE BLVD STE 207
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45245-1584
Country	:	US
Telephone Number	:	513-753-9111
Fax Number	:	513-214-1193

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2016
Last Update Date	:	07/01/2026

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