| Ohio Dental Professionals, Delisle, P.c. | |
|
9415 Fields Ertel Rd Cincinnati OH 45249-8212 | |
| (513) 746-8228 | |
| Not Available |
| Full Name | Ohio Dental Professionals, Delisle, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9415 Fields Ertel Rd, Cincinnati, Ohio |
| Authorized Official Name and Position | Tabatha Lemke (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175406078 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ohio Dental Professionals, Delisle, P.c. 9415 Fields Ertel Rd Cincinnati OH 45249-8212 Ph: (513) 746-8228 | Ohio Dental Professionals, Delisle, P.c. 9415 Fields Ertel Rd Cincinnati OH 45249-8212 Ph: (513) 746-8228 |
| NPI Number | 1689340895 |
|---|---|
| Provider Enumeration Date | 08/18/2021 |
| Last Update Date | 08/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689340895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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