| Immediadent | |
|
4468 Montgomery Rd Cincinnati OH 45212-3116 | |
| (513) 454-1614 | |
| (913) 752-9116 |
| Full Name | Immediadent |
|---|---|
| Speciality | Dentist |
| Location | 4468 Montgomery Rd, Cincinnati, Ohio |
| Authorized Official Name and Position | Monica L Long (MANAGER OF CREDENTIALING) |
| Authorized Official Contact | 9134281686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Immediadent Po Box 11568 Overland Park KS 66207-4268 Ph: (913) 428-1686 | Immediadent 4468 Montgomery Rd Cincinnati OH 45212-3116 Ph: (513) 454-1614 |
| NPI Number | 1407374549 |
|---|---|
| Provider Enumeration Date | 09/08/2017 |
| Last Update Date | 09/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407374549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Ohio) | Primary |
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