| University Dental -scott M Everhart Dds & Mamta M Kori Dds Inc | |
|
675 N University Blvd Middletown OH 45042-3355 | |
| (855) 908-3676 | |
| (513) 217-5649 |
| Full Name | University Dental -scott M Everhart Dds & Mamta M Kori Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 675 N University Blvd, Middletown, Ohio |
| Authorized Official Name and Position | Darlene G Mcintosh (INS. & CREDENTIALING MANAGER) |
| Authorized Official Contact | 5132175520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Dental -scott M Everhart Dds & Mamta M Kori Dds Inc 675 N University Blvd Middletown OH 45042-3355 Ph: (855) 908-3676 | University Dental -scott M Everhart Dds & Mamta M Kori Dds Inc 675 N University Blvd Middletown OH 45042-3355 Ph: (855) 908-3676 |
| NPI Number | 1558823245 |
|---|---|
| Provider Enumeration Date | 04/02/2019 |
| Last Update Date | 10/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558823245 | NPI | - | NPPES |
| 2509397 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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