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Contact Information

MIDWEST URGENT DENTAL CARE
9464 CIVIC CENTRE BOULEVARD
WEST CHESTER, OH45069
 Phone: 513-777-7883
 Fax: 513-755-1604
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for MIDWEST URGENT DENTAL CARE

NPI # 1063734994
LBN Legal business name MIDWEST URGENT DENTAL CARE
Authorized official JOSEPH BROWN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/19/2010
Last updated 02/19/2010 - About 16 years ago
Identifiers
OH License # 30023117
OH License # 30023135
OH Medicaid 0856033
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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