| Eastgate Dental Excellence | |
|
3241 Mount Carmel Rd Cincinnati OH 45244-4315 | |
| (513) 753-0044 | |
| (513) 753-0093 |
| Full Name | Eastgate Dental Excellence |
|---|---|
| Speciality | Dentist |
| Location | 3241 Mount Carmel Rd, Cincinnati, Ohio |
| Authorized Official Name and Position | Stephen Paul Kuennemeier (DENTIST/OWNER) |
| Authorized Official Contact | 5137530044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastgate Dental Excellence 3241 Mount Carmel Rd Cincinnati OH 45244-4315 Ph: (513) 753-0044 | Eastgate Dental Excellence 3241 Mount Carmel Rd Cincinnati OH 45244-4315 Ph: (513) 753-0044 |
| NPI Number | 1679940118 |
|---|---|
| Provider Enumeration Date | 09/01/2015 |
| Last Update Date | 09/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679940118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 16903 (Ohio) | Primary |
| 1223G0001X | Dentist - General Practice | 23243 (Ohio) | Secondary |
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