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NPI Code Detail

MEDICARE: FENNELL, BARON AND ASSOCIATES, D.D.S., INC.

MEDICARE: FENNELL, BARON AND ASSOCIATES, D.D.S., INC.
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
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1669405635
Entity Type Code : Organization
Provider Name (Legal Business Name) : FENNELL, BARON AND ASSOCIATES, D.D.S., INC.
Provider Business Mailing Address
First Line : 5451 MONTGOMERY RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45212-1708
Country : US
Telephone Number : 513-631-6600
Fax Number : 513-458-3492
Provider Business Practice Location Address
First Line : 5451 MONTGOMERY RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45212-1708
Country : US
Telephone Number : 513-631-6600
Fax Number : 513-458-3492
Authorized Official
Title or Position : OFFICE MANAGER
Name : ALBERT KOVACIC
Credential :
Telephone Number : 513-631-6600
Provider Enumeration Date : 07/10/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

1609809664 — MR. JOHN PHILIP HORSLEY D.D.S.
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5451 MONTGOMERY RD
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1972521359 — MR. THOMAS J BARON D.D.S.
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1558389064 — MR. JAMES WALTER FENNELL D.D.S.
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5451 MONTGOMERY RD
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45212-1708
Practice Phone: 513-631-6600
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1366649311 — ROBERT PAUL YOXTHIMER D.D.S.
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5451 MONTGOMERY RD
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1720490873 — NATHAN ANDREWS FENNELL D.D.S.
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1689391765 — JOANN MIKERY-MUNOZ
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Directions to “FENNELL, BARON AND ASSOCIATES, D.D.S., INC. ” Practice Location

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