| Dentistry Details | |
|
8919 Brookside Ave Suite 102 West Chester OH 45069-7109 | |
| (513) 847-4692 | |
| Not Available |
| Full Name | Dentistry Details |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8919 Brookside Ave, West Chester, Ohio |
| Authorized Official Name and Position | April Hearns (DENTIST/OWNER) |
| Authorized Official Contact | 5138474692 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentistry Details 8919 Brookside Ave Suite 102 West Chester OH 45069-7109 Ph: (513) 847-4692 | Dentistry Details 8919 Brookside Ave Suite 102 West Chester OH 45069-7109 Ph: (513) 847-4692 |
| NPI Number | 1366884561 |
|---|---|
| Provider Enumeration Date | 07/29/2013 |
| Last Update Date | 07/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366884561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 30 022850 (Ohio) | Primary |
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