Pediatric Dentistry, John a. Gennantonio, D.D.S., Inc.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

30019420 Issued in OH

Legal business name

PEDIATRIC DENTISTRY, JOHN A. GENNANTONIO, D.D.S., INC.

Practice address

7801 Beechmont Ave
Suite 5
Cincinnati, OH 45255-4211

Phone

(513) 474-6777

Fax

(513) 474-2326

NPI assigned

Mar 23, 2006

Last updated

Aug 22, 2020By 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

Tracey Graf

Title

Office Manager

Phone

(513) 474-6777

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538128970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 BEECHMONT AVE",
            "address_2": "SUITE 5",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452554211",
            "telephone_number": "513-474-6777",
            "fax_number": "513-474-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 BEECHMONT AVE",
            "address_2": "SUITE 5",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452554211",
            "telephone_number": "513-474-6777",
            "fax_number": "513-474-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTISTRY, JOHN A. GENNANTONIO, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAF",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "513-474-6777"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30019420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Dentistry in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Pediatric Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.