| Children's Hospital Medical Center - Division Of Pediatric Dentistry | |
|
3333 Burnet Avenue Ml 2006 Cincinnati OH 45229-3039 | |
| (513) 636-4225 | |
| (513) 636-2511 |
| Full Name | Children's Hospital Medical Center - Division Of Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3333 Burnet Avenue, Cincinnati, Ohio |
| Authorized Official Name and Position | Catherine E. Guthrie (DIRECTOR MEDICAL STAFF SERVICES) |
| Authorized Official Contact | 5136369691 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Hospital Medical Center - Division Of Pediatric Dentistry 3333 Burnet Avenue Ml 5021 Cincinnati OH 45229-3026 Ph: (513) 636-4225 | Children's Hospital Medical Center - Division Of Pediatric Dentistry 3333 Burnet Avenue Ml 2006 Cincinnati OH 45229-3039 Ph: (513) 636-4225 |
| NPI Number | 1306988852 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 10/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306988852 | NPI | - | NPPES |
| 61943189 | Medicaid | KY | |
| 100012670A | Medicaid | IN | |
| 001065780-0005 | Medicaid | PA | |
| 0282715 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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