Moorehead Dentistry Lebanon LLC

NPI #1225631773 in Lebanon, Ohio

Provider Information

NPI Number: 1225631773
Entity Type: Organization
Organization Name: Moorehead Dentistry Lebanon LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 18, 2020
Last Updated: Nov 18, 2020

Practice Location

Address: 1521 WALMART DR STE 501
City: Lebanon
State: Ohio
ZIP Code: 45036-8350
Phone: (513) 282-6200

Authorized Official

Name: PHIL MICHAEL
Title: COO
Phone: (513) 462-6583

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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