East Allen Dene Smith DDS LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30023313 Issued in OH

Legal business name

EAST ALLEN DENE SMITH DDS LLC

Practice address

9200 Montgomery Rd
Suite 1 a
Cincinnati, OH 45242-7789

Phone

(513) 891-5860

Fax

(513) 891-5869

NPI assigned

Aug 14, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Allen Dene Smith

Title

Owner/Dentist

Phone

(513) 891-5860

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439510400000",
    "number": "1245606177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11075 S STATE ST STE 10",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840705169",
            "telephone_number": "513-891-5860",
            "fax_number": "513-891-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 MONTGOMERY RD",
            "address_2": "SUITE 1 A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452427789",
            "telephone_number": "513-891-5860",
            "fax_number": "513-891-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST ALLEN DENE SMITH DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-14",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "DENE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "513-891-5860"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30023313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dreconda Lynn Easley
• Geralisa Easley
• Sarah F, Easley, D.C.
• Tina Easley
• Teneshia Valeria Eason
• East Chiropractic Center Inc
• East End Community Heritage School
• East Kemper Chiropractic Inc
• East Total Health Center Inc
• Easter Seals Southwestern Ohio

• General Practice Dentistry in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.