Ohio Dental Professionals, Delisle, PC

NPI #1598126989 in Hamilton, Ohio

Provider Information

NPI Number: 1598126989
Entity Type: Organization
Organization Name: Ohio Dental Professionals, Delisle, PC
Subpart: Yes (part of a larger organization)
Parent Organization: OHIO DENTAL PROFESSIONALS, DELISLE, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 11, 2016
Last Updated: Mar 11, 2016

Practice Location

Address: 3012 ANCHOR DRIVE
City: Hamilton
State: Ohio
ZIP Code: 45011
Phone: (513) 285-9613

Authorized Official

Name: KENDRA WALKER
Title: CREDENTIALING TEAM LEAD
Phone: (217) 540-8312

Specialties & Taxonomy Codes

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

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