| Dr Myanh Cong, DDS | |
| 
					4627 Aicholtz Rd, Cincinnati, OH 45244-1447  | |
| (513) 753-5282 | |
| (513) 528-0593 | 
| Full Name | Dr Myanh Cong | 
|---|---|
| Gender | Female | 
| Speciality | Dentist | 
| Location | 4627 Aicholtz Rd, Cincinnati, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1235230855 | NPI | - | NPPES | 
| 2737355 | Medicaid | OH | |
| 7100087790 | Medicaid | KY | |
| 200999390 | Medicaid | IN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 122300000X | Dentist | 30.022422 (Ohio) | Primary | 
| 1223G0001X | Dentist - General Practice | 022422 (Ohio) | Secondary | 
| Entity Name | Healthsource Of Ohio, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1275966863 PECOS PAC ID: 2264328749 Enrollment ID: O20140521002611  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Myanh Cong, DDS 424 Wards Corner Rd Ste 200, Loveland, OH 45140-6966 Ph: (513) 707-4041  | Dr Myanh Cong, DDS 4627 Aicholtz Rd, Cincinnati, OH 45244-1447 Ph: (513) 753-5282  | 
Dr. Ashley Rae Mencarelli, DMD, MS Dentist Medicare: Medicare Enrolled Practice Location: 1163 Fehl Ln, Cincinnati, OH 45230 Phone: 513-231-0041  | |
Dr. Rikul Dinkerkumar Patel, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4998 Glenway Ave, Cincinnati, OH 45238 Phone: 513-251-5500  | |
Matthew Philip Orlando,  Dentist Medicare: Not Enrolled in Medicare Practice Location: 6059 Bridgetown Rd, Cincinnati, OH 45248 Phone: 513-598-6700  | |
Christina Anne Chen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 234 Goodman St, Cincinnati, OH 45219 Phone: 513-584-6660 Fax: 513-584-6661  | |
Dr. Celeana Lambing, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3650 Muddy Creek Rd Ste 200, Cincinnati, OH 45238 Phone: 513-434-1987  | |
Amanda Claire Moberly, DMD Dentist Medicare: Medicare Enrolled Practice Location: 4627 Aicholtz Rd, Cincinnati, OH 45244 Phone: 513-753-2821  | |
Dr. Joseph Paul Mayer Jr., D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2808 Erie Ave, Cincinnati, OH 45208 Phone: 513-321-5545 Fax: 513-321-3008  |