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JOHN A. GENNANTONIO DDS AND KATHRYN LUBITZ STEWART DDS LLC NPI 1508185802


NPI Information

NPI: 1508185802
Provider Name: JOHN A. GENNANTONIO, DDS AND KATHRYN LUBITZ STEWART, DDS, LLC

Doing Business As: SEA OF SMILES

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
1319 NAGEL RD
CINCINNATI, OH
ZIP 45255
Phone: (513) 474-6777
Get Directions

JOHN A. GENNANTONIO, DDS AND KATHRYN LUBITZ STEWART, DDS, LLC is a pediatric dentistry dentist in Cincinnati, OH. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. JOHN A. GENNANTONIO, DDS AND KATHRYN LUBITZ STEWART, DDS, LLC NPI is 1508185802. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sea Of Smiles.

The provider's business location address is:

1319 NAGEL RD
CINCINNATI, OH
ZIP 45255-101
Phone: (513) 474-6777
Fax: (513) 474-2326

The provider's authorized official is Traci Cain .
The authorized official title is Business Assistant and has the following contact phone number (513) 474-6777.

The enumeration date for this NPI number is 5/26/2010 and was last updated on 4/21/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric Dentistry30.022659OHIONo
21223P0221XDentistPediatric Dentistry30.019420OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10924807MEDICAIDOHIO
23047410MEDICAIDOHIO
32830146MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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