| Cincinnati Dental Services Eastgate | |
|
4360 Ferguson Dr Ste 140 Cincinnati OH 45245-1683 | |
| (513) 753-6446 | |
| Not Available |
| Full Name | Cincinnati Dental Services Eastgate |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4360 Ferguson Dr Ste 140, Cincinnati, Ohio |
| Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cincinnati Dental Services Eastgate 4360 Ferguson Dr Ste 140 Cincinnati OH 45245-1683 Ph: (513) 753-6446 | Cincinnati Dental Services Eastgate 4360 Ferguson Dr Ste 140 Cincinnati OH 45245-1683 Ph: (513) 753-6446 |
| NPI Number | 1174540710 |
|---|---|
| Provider Enumeration Date | 07/17/2006 |
| Last Update Date | 02/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174540710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 14417 (Ohio) | Primary |
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