Tristate Mobile Dental

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

TRISTATE MOBILE DENTAL

Practice address

9200 Montgomery Rd Unit 1A2A
Cincinnati, OH 45242-7789

Phone

(513) 460-3124

NPI assigned

Aug 23, 2019

Last updated

Aug 23, 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

Dr. Faith Hayden

Title

Member, Dentist

Phone

(513) 460-3124

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566518400000",
    "number": "1841847860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 MONTGOMERY RD UNIT 1A2A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452427789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 MONTGOMERY RD UNIT 1A2A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452427789",
            "telephone_number": "513-460-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTATE MOBILE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-23",
        "last_updated": "2019-08-23",
        "status": "A",
        "authorized_official_last_name": "HAYDEN",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "MEMBER, DENTIST",
        "authorized_official_telephone_number": "513-460-3124",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tristate Maternal Fetal Medicine Inc
• Tristate Nemt Services LLC
• Tristate Orthopaedic Treatment Center, Inc
• Tristate Orthopaedic Treatment Center, Inc
• Tristate Orthopaedic Treatment Center, Inc.
• Tristate Sleep and Pain Management

• Dentist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.