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ANDERSON SMILE CENTER REDDY INC NPI 1699281980


NPI Information

NPI: 1699281980
Provider Name: ANDERSON SMILE CENTER REDDY INC

Doing Business As: ANDERSON SMILE CENTER

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

CLIA Number: 36D1068164

Address:
1222 NORDICA LN
CINCINNATI, OH
ZIP 45255
Phone: (513) 474-5185
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ANDERSON SMILE CENTER REDDY INC is a dental clinic center in Cincinnati, OH. ANDERSON SMILE CENTER REDDY INC NPI is 1699281980. The provider is registered as an organization entity type.
The provider Is Doing Business As Anderson Smile Center.

The provider's business location address is:

1222 NORDICA LN
CINCINNATI, OH
ZIP 45255-118
Phone: (513) 474-5185

The provider's authorized official is Opal Anderson .
The authorized official title is Operations Manager and has the following contact phone number (513) 474-5185.

The CLIA number assigned to this NPI record is 36D1068164 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/21/2017 and was last updated on 7/20/2022.


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
1261QD0000XClinic/CenterDentalYes

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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