Dental Sleep Therapy of Greater Cincinnati PSC

Primary specialty

DentistTaxonomy code 122300000X

License

7616 Issued in KY

Legal business name

DENTAL SLEEP THERAPY OF GREATER CINCINNATI PSC

Practice address

265 Main St
Florence, KY 41042-2186

Phone

(859) 371-4620

Fax

(859) 746-5192

NPI assigned

Feb 27, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Ronnie Douglas Elliott Jr., DMD

Title

Doctor

Phone

(859) 282-1632

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ronald Douglas Elliott Jr., DMD

  • Dentist
  • Florence, KY
  • NPI 1689713901
  NPD
• Thomas Robert Smith, D.M.D.

  • Dentist
  • Florence, KY
  • NPI 1215145891
  NPD (past)

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561420800000",
    "number": "1265972137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 605",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410220605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 MAIN ST",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410422186",
            "telephone_number": "859-371-4620",
            "fax_number": "859-746-5192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SLEEP THERAPY OF GREATER CINCINNATI PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2019-06-25",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "859-282-1632",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "KY",
            "license": "7616",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Marie Densler, RBT
• Dental Center of Florence Kentucky
• Dental Health Professionals of Kentucky, P.S.C. (Florence Family Dentistry)
• Dental Services of Kentucky, PSC (ImmediaDent)
• Dental Sleep Medicine of Northern Kentucky, PLLC
• Dermatology Associates of Northern Kentucky PSC
• Barbara Jean Derosa, ARNP
• Bella Grace Derrough
• Pamela Dickerson, LCSW
• Didio Chiropractic Center

• Dentist in Florence, KY
• Providers in Florence, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.