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BUCKEYE DENTAL CARE LLC. NPI 1740639988


NPI Information

NPI: 1740639988
Provider Name: BUCKEYE DENTAL CARE LLC.

Doing Business As: BUCKEYE DENTAL CARE

Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
1268 OHIO PIKE
AMELIA, OH
ZIP 45102
Phone: (513) 482-0005
Get Directions

BUCKEYE DENTAL CARE LLC. is a point of service in Amelia, OH. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. BUCKEYE DENTAL CARE LLC. NPI is 1740639988. The provider is registered as an organization entity type.
The provider Is Doing Business As Buckeye Dental Care.

The provider's business location address is:

1268 OHIO PIKE
AMELIA, OH
ZIP 45102
Phone: (513) 482-0005

The provider's authorized official is Ghulam Fareed .
The authorized official title is Dentist and has the following contact phone number (513) 482-0005.

The enumeration date for this NPI number is 6/8/2016 and was last updated on 6/8/2016.


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
1305S00000XPoint of Service30.021441OHIOYes

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
12419289MEDICAIDOHIO

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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