MEDICARE: DEVER DENTAL LLC

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	261QD0000X	Dental Clinic/Center	30-022401	OH

General Provider Information

NPI Number	:	1699004218
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEVER DENTAL LLC

Provider Business Mailing Address
First Line	:	9144 CINCINNATI COLUMBUS RD
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-3702
Country	:	US
Telephone Number	:	513-777-6444
Fax Number	:

Provider Business Practice Location Address
First Line	:	9144 CINCINNATI COLUMBUS RD
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-3702
Country	:	US
Telephone Number	:	513-777-6444
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MARTHA GERDSEN DEVER
Credential	:	DDS
Telephone Number	:	513-777-6444

Provider Enumeration Date	:	12/10/2009
Last Update Date	:	12/10/2009

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1417748344 — SHAMIRA T MALEY
Practice Location Address:

9144 CINCINNATI COLUMBUS RD
WEST CHESTER, OH
45069-3702

Practice Phone: 513-777-6444
Practice Fax:

1477518132 — DR. COLIN A CAMPBELL D.O.
Practice Location Address:

299 S ROUTE 73 STE A
WEST BERLIN, NJ
08091-3702

Practice Phone: 856-767-2000
Practice Fax:

1558460899 — THRIFT DRUG INC
Practice Location Address:

200 WEST RIDGE PIKE , SUITE 112
CONSHOHOCKEN, PA
19428-3702

Practice Phone: 610-828-1274
Practice Fax:

1558440123 — TRUSTEES OF COLUMBIA UNIVERSITY ADULT EKG GROUP
Practice Location Address:

622 WEST 168TH STREET
NEW YORK, NY
10032-3702

Practice Phone: 212-305-7634
Practice Fax: 212-305-3137

1255471462 — STATE OF NEW YORK
Practice Location Address:

1478 E AND WEST RD
BUFFALO, NY
14224-3702

Practice Phone: 518-402-4333
Practice Fax:

Directions to “DEVER DENTAL LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.