Organization Active NPI

Dental Implant Center of Ohio

  • Dentist
  • Cincinnati, OH
National Provider Identifier
1306030317
Registry record updated Sep 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
18579 Issued in OH
Legal business name
DENTAL IMPLANT CENTER OF OHIO
Practice address
4050 Cottingham Dr
Cincinnati, OH 45241-1626
Phone
(513) 563-0201
Fax
(513) 407-5247
NPI assigned
Sep 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2007

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

Authorized official

Name
Dr. Eunjin Han Suh, D.D.S.
Title
President
Phone
(513) 563-0201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 18579 OH Primary

Addresses

Primary practice location

4050 Cottingham Dr
Cincinnati, OH 45241-1626

Mailing address

4050 Cottingham Dr
Cincinnati, OH 45241-1626
Phone (513) 563-0201

National Provider Directory

National Provider Directory

Locations

4050 Cottingham Dr
Sharonville, OH 45241
Phone (513) 563-0201

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188691200000",
    "number": "1306030317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 COTTINGHAM DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452411626",
            "telephone_number": "513-563-0201",
            "fax_number": "513-407-5247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 COTTINGHAM DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452411626",
            "telephone_number": "513-563-0201",
            "fax_number": "513-407-5247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL IMPLANT CENTER OF OHIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-02",
        "last_updated": "2007-09-02",
        "status": "A",
        "authorized_official_last_name": "SUH",
        "authorized_official_first_name": "EUNJIN",
        "authorized_official_middle_name": "HAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-563-0201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "18579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2007; 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.