Cincinnati Dental Group LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CINCINNATI DENTAL GROUP LLC

Practice address

4605 E Galbraith Rd Ste 100
Cincinnati, OH 45236-2888

Phone

(513) 961-1991

NPI assigned

Dec 6, 2019

Last updated

Dec 6, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Opal Anderson

Title

Coo

Phone

(440) 823-6790

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Brandon Tobias Wallace, DMD

  • General Practice Dentistry
  • Cincinnati, OH
  • NPI 1093569204
  NPD

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

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575590400000",
    "number": "1376180562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 E GALBRAITH RD STE 100",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 E GALBRAITH RD STE 100",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362888",
            "telephone_number": "513-961-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CINCINNATI DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-06",
        "last_updated": "2019-12-06",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "OPAL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "440-823-6790"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cincinnati Chiropractic LLC
• Cincinnati Christian Adult Ministries Center
• Cincinnati Counseling Service, Inc.
• Cincinnati Cryospa
• Cincinnati Dental Care Dr Parneet S Sohi DDS LLC
• Cincinnati Dental Services
• Cincinnati Dermatology Center, LLC
• Cincinnati Dermatology Institute LLC
• Cincinnati Dermatology, Inc.
• Cincinnati Digestive Disease Associates Inc (Stephen J Goldberg MD)

• Dental Clinic/Center in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Dental Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; 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.