Liberty Dental Care & Dentures-LLC
Organization Active NPI Dentist · Liberty Townshp, OH
NPI 1871044347 · NPPES record last updated Oct 20, 2016
Key facts
- NPI
- 1871044347
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 30-022036 (OH)
- Legal business name
- LIBERTY DENTAL CARE & DENTURES-LLC
- Practice address
- 7100 Sennet PL
Suite E
Liberty Townshp, OH 45069-1794 - Phone
- (917) 815-6369
- NPI assigned
- Oct 20, 2016
- Organization subpart
- No
Authorized official
- Name
- Dr. Khalid Rashid Chaudry, DDS
- Title
- Dentist/Owner
- Phone
- (917) 815-6369
Practitioners 1
-
Khalid R Chaudry, DDS
National Provider Directory
Locations
7100 Sennet Pl
Ste E
Liberty Township, OH 45069
Phone (513) 759-5481
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 30-022036 | OH | Yes |
Addresses
Primary practice location
7100 Sennet PL
Suite E
Liberty Townshp, OH 45069-1794
Mailing address
7100 Sennet Place
Suite E
Liberty Township, OH 45069
Phone (917) 815-6369
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 310994808057 | Other | OH | CARE SOURCE |
| 2525959 | Medicaid | OH |
Other names
- Liberty Dental Care & Dentures
Other providers in Liberty Townshp, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.