Northside Dental | |
4254 Hamilton Ave Cincinnati OH 45223-2048 | |
(614) 204-6818 | |
Not Available |
Full Name | Northside Dental |
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Speciality | Clinic/center - Dental |
Location | 4254 Hamilton Ave, Cincinnati, Ohio |
Authorized Official Name and Position | Ryan Mathew Durner (OWNER) |
Authorized Official Contact | 6142046818 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Northside Dental 4254 Hamilton Ave Cincinnati OH 45223-2048 Ph: (513) 541-5655 | Northside Dental 4254 Hamilton Ave Cincinnati OH 45223-2048 Ph: (614) 204-6818 |
NPI Number | 1952918443 |
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Provider Enumeration Date | 09/28/2020 |
Last Update Date | 05/07/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952918443 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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