NPI:
1134844517
Provider Name:
CD OHIO DERRICK KRUGER DDS, INC.
Doing Business As: BROCKMAN, POLLOCK & ASSOCIATES D.D.S.
Classification:
Dentist - 1223P0221X
Entity Type:
Organization
Specialization: Pediatric Dentistry
Address:
210 S BREIEL BLVD
MIDDLETOWN, OH
ZIP 45044
Phone:
(513) 423-9239
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CD OHIO DERRICK KRUGER DDS, INC. is a pediatric dentistry dentist in Middletown, 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. CD OHIO DERRICK KRUGER DDS, INC. NPI is 1134844517. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Brockman, Pollock & Associates D.d.s..
The provider's business location address is:
210 S BREIEL BLVD
MIDDLETOWN, OH
ZIP 45044-157
Phone: (513) 423-9239
Fax: (513) 423-4188
The provider's authorized official is Ty Justice .
The authorized official title is Director, Credentialing and has the following contact phone number (513) 808-4984.
The enumeration date for this NPI number is 10/7/2022 and was last updated on 5/25/2023.