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LIBERTY DENTAL ASSOCIATES NPI 1194888271


NPI Information

NPI: 1194888271
Provider Name: LIBERTY DENTAL ASSOCIATES
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
11321 SPRINGFIELD PIKE
SPRINGWOOD PROFESSIONAL CENTER
CINCINNATI, OH
ZIP 45246
Phone: (513) 541-1941
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LIBERTY DENTAL ASSOCIATES is a general practice dentist in Cincinnati, 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. LIBERTY DENTAL ASSOCIATES NPI is 1194888271. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11321 SPRINGFIELD PIKE
SPRINGWOOD PROFESSIONAL CENTER
CINCINNATI, OH
ZIP 45246-201
Phone: (513) 541-1941
Fax: (513) 541-0773

The provider's authorized official is Glenn Edward Casteel .
The authorized official title is Owner and has the following contact phone number (513) 541-1941.

The enumeration date for this NPI number is 12/19/2006 and was last updated on 8/22/2020.


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 Practice19142OHIOYes
21223P0300XDentistPeriodontics30111549OHIOX

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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