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DR. ERIK SNELL DENTISTRY EVOLVED LLC NPI 1649727876


NPI Information

NPI: 1649727876
Provider Name: DR. ERIK SNELL, DENTISTRY EVOLVED LLC

Doing Business As: LIBERTY CENTER DENTAL CARE

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
7570 BALES ST
SUITE 370
LIBERTY TOWNSHP, OH
ZIP 45069
Phone: (513) 759-7635
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DR. ERIK SNELL, DENTISTRY EVOLVED LLC is a general practice dentist in Liberty Townshp, 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. DR. ERIK SNELL, DENTISTRY EVOLVED LLC NPI is 1649727876. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Liberty Center Dental Care.

The provider's business location address is:

7570 BALES ST
SUITE 370
LIBERTY TOWNSHP, OH
ZIP 45069-516
Phone: (513) 759-7635
Fax: (513) 755-2039

The provider's authorized official is Erik Mathew Snell .
The authorized official title is Dentist and has the following contact phone number (513) 759-7635.

The enumeration date for this NPI number is 9/6/2016 and was last updated on 11/29/2016.


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
11223G0001XDentistGeneral Practice30.023947OHIOYes

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
10104785MEDICAIDOHIO

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: 11/14/2023

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