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EDGEWOOD DENTAL CLINIC NPI 1194936724


NPI Information

NPI: 1194936724
Provider Name: EDGEWOOD DENTAL CLINIC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1 SOUTH EDGEWOOD AVE
HAMILTON, OH
ZIP 45013
Phone: (513) 868-9277
Get Directions

EDGEWOOD DENTAL CLINIC is a general practice dentist in Hamilton, 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. EDGEWOOD DENTAL CLINIC NPI is 1194936724. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1 SOUTH EDGEWOOD AVE
HAMILTON, OH
ZIP 45013-505
Phone: (513) 868-9277
Fax: (513) 868-9277

The provider's authorized official is Raymond R Thenot .
The authorized official title is Owner and has the following contact phone number (513) 868-9277.

The enumeration date for this NPI number is 5/25/2007 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 Practice30011994OHIOYes

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
130011994OTHERLICENSE NUMBER

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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