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AMAZING SMILES DENTAL LLC NPI 1669645461


NPI Information

NPI: 1669645461
Provider Name: AMAZING SMILES DENTAL, LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1140 HARRISON AVE
HARRISON, OH
ZIP 45030
Phone: (513) 367-9464
Get Directions

AMAZING SMILES DENTAL, LLC is a general practice dentist in Harrison, 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. AMAZING SMILES DENTAL, LLC NPI is 1669645461. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1140 HARRISON AVE
HARRISON, OH
ZIP 45030-524
Phone: (513) 367-9464
Fax: (513) 367-9465

The provider's authorized official is Syed Haider Ali Hassan .
The authorized official title is Owner and has the following contact phone number (513) 367-9464.

The enumeration date for this NPI number is 4/12/2008 and was last updated on 4/12/2008.


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
1122300000XDentistOH21642OHIONo
21223G0001XDentistGeneral PracticeOH21536OHIOYes

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
12492726MEDICAIDOHIO

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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