Cd Ohio Derrick Kruger Dds, Inc.

NPI #1699259606 in Blue Ash, Ohio

Provider Information

NPI Number: 1699259606
Entity Type: Organization
Organization Name: Cd Ohio Derrick Kruger Dds, Inc.
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 17, 2018
Last Updated: Jan 6, 2023

Practice Location

Address: 4157 HUNT RD
City: Blue Ash
State: Ohio
ZIP Code: 45236-1158
Phone: (513) 791-6154

Authorized Official

Name: TY JUSTICE
Title: DIRECTOR, CREDENTIALING & PAYER REL
Phone: (513) 808-4984

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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