MEDICARE: J. MICHAEL FUCHS DDS 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
1	1223G0001X	General Practice Dentistry	30015749	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	:	1679681332
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J. MICHAEL FUCHS DDS INC.

Provider Business Mailing Address
First Line	:	8805 GOVERNORS HILL DR
Second Line	:	# 105
City	:	CINCINNATI
State	:	OH
Zip	:	45249-3314
Country	:	US
Telephone Number	:	513-697-2640
Fax Number	:	513-697-2650

Provider Business Practice Location Address
First Line	:	8805 GOVERNORS HILL DR
Second Line	:	# 105
City	:	CINCINNATI
State	:	OH
Zip	:	45249-3314
Country	:	US
Telephone Number	:	513-697-2640
Fax Number	:	513-697-2650

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JAMES MICHAEL FUCHS
Credential	:	DDS
Telephone Number	:	513-697-2640

Provider Enumeration Date	:	08/25/2006
Last Update Date	:	07/31/2008

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