| Family Dentistry Of Blue Ash | |
|
4157 Hunt Rd Blue Ash OH 45236-1158 | |
| (513) 791-6154 | |
| (513) 791-1449 |
| Full Name | Family Dentistry Of Blue Ash |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4157 Hunt Rd, Blue Ash, Ohio |
| Authorized Official Name and Position | Ty Justice (DIRECTOR, CREDENTIALING & PAYER REL) |
| Authorized Official Contact | 5138084984 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dentistry Of Blue Ash 9825 Kenwood Rd Ste 200 Blue Ash OH 45242-6252 Ph: (513) 808-4984 | Family Dentistry Of Blue Ash 4157 Hunt Rd Blue Ash OH 45236-1158 Ph: (513) 791-6154 |
| NPI Number | 1699259606 |
|---|---|
| Provider Enumeration Date | 09/17/2018 |
| Last Update Date | 01/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699259606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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