| Liberty Dental Associates | |
|
11321 Springfield Pike Springwood Professional Center Cincinnati OH 45246-4201 | |
| (513) 541-1941 | |
| (513) 541-0773 |
| Full Name | Liberty Dental Associates |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 11321 Springfield Pike, Cincinnati, Ohio |
| Authorized Official Name and Position | Glenn Edward Casteel (OWNER) |
| Authorized Official Contact | 5135411941 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liberty Dental Associates 11321 Springfield Pike Springwood Professional Center Cincinnati OH 45246-4201 Ph: (513) 541-1941 | Liberty Dental Associates 11321 Springfield Pike Springwood Professional Center Cincinnati OH 45246-4201 Ph: (513) 541-1941 |
| NPI Number | 1194888271 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194888271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19142 (Ohio) | Primary |
| 1223P0300X | Dentist - Periodontics | 30111549 (Ohio) | Primary |
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