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MODERN DENTAL PROFESSIONALS-LEEINC NPI 1033393558


NPI Information

NPI: 1033393558
Provider Name: MODERN DENTAL PROFESSIONALS-LEE,INC

Doing Business As: MONARCH DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
6040 WILMINGTON PIKE
CENTERVILLE, OH
ZIP 45459
Phone: (937) 778-0150
Get Directions

MODERN DENTAL PROFESSIONALS-LEE,INC is a general practice dentist in Centerville, OH. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MODERN DENTAL PROFESSIONALS-LEE,INC NPI is 1033393558. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Monarch Dental.

The provider's business location address is:

6040 WILMINGTON PIKE
CENTERVILLE, OH
ZIP 45459-006
Phone: (937) 778-0150

The provider's authorized official is Rhonda Keller .
The authorized official title is District Manager and has the following contact phone number (937) 278-7956.

The enumeration date for this NPI number is 12/19/2007 and was last updated on 12/19/2007.


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
11223G0001XDentistGeneral Practice30.019758OHIOYes

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
12183613MEDICAIDOHIO

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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