Ly Dentists of Kenwood PC Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LY DENTISTS OF KENWOOD PC INC

Doing business as

Dentists of Kenwood

Practice address

7819 Kenwood Road
Cincinnati, OH 45236

Phone

(513) 776-8499

Fax

(513) 978-5230

NPI assigned

Aug 22, 2024

Organization subpart

No

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

Authorized official

Name

Jeffrey Ly, DMD

Title

Owner

Phone

(513) 776-8499

Specialties & licenses 1

Addresses

Other names 1

• Dentists of Kenwood Doing business as

Locations

Practitioners 1

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

• Jaehee Hong, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Springboro, OH
  • NPI 1467905257

  General Practice

  NPD (past)

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1568295897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7819 KENWOOD ROAD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45236",
            "telephone_number": "513-776-8499",
            "fax_number": "513-978-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LY DENTISTS OF KENWOOD PC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "LY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-776-8499",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentists of Kenwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Luxottica Retail North America Inc
• Luxottica Retail North America Inc
• Luxottica Retail North America Inc
• Luxottica Retail North America Inc
• Luxury & Exotic Truck Services LLC
• Emily Renae Ly, LSW
• Jeffrey Ly, DMD
• Yefim Lyamport, M.D.
• Emma A Lybarger, LPCC
• Annamarie C Lybrook

• 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 22, 2024; 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.