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Contact Information

AFINIA DENTAL - KILLGORE FIELDS ERTEL INC.
9415 FIELDS ERTEL RD
CINCINNATI, OH45249-8212
 Phone: 513-777-9117
 Fax: 513-843-7830
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for AFINIA DENTAL - KILLGORE FIELDS ERTEL INC.

NPI # 1801158092
LBN Legal business name AFINIA DENTAL - KILLGORE FIELDS ERTEL INC.
Authorized official ANDREW KILLGORE - (OWNER/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/13/2012
Last updated 06/13/2012 - About 14 years ago
Identifiers
OH License # 30022880
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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