| Sea Of Smiles | |
|
1319 Nagel Rd Cincinnati OH 45255-3101 | |
| (513) 474-6777 | |
| (513) 474-2326 |
| Full Name | Sea Of Smiles |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1319 Nagel Rd, Cincinnati, Ohio |
| Authorized Official Name and Position | Traci Cain (BUSINESS ASSISTANT) |
| Authorized Official Contact | 5134746777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sea Of Smiles 1319 Nagel Road Cincinnati OH 45255 Ph: (513) 474-6777 | Sea Of Smiles 1319 Nagel Rd Cincinnati OH 45255-3101 Ph: (513) 474-6777 |
| NPI Number | 1508185802 |
|---|---|
| Provider Enumeration Date | 05/26/2010 |
| Last Update Date | 04/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508185802 | NPI | - | NPPES |
| 0924807 | Medicaid | OH | |
| 3047410 | Medicaid | OH | |
| 2830146 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 30.022659 (Ohio) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | 30.019420 (Ohio) | Primary |
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