| Dr Tanya Kiley Sackrider, DDS | |
|
1341 Clough Pike Ste 150, Batavia, OH 45103 | |
| (513) 732-5088 | |
| (513) 231-2620 |
| Full Name | Dr Tanya Kiley Sackrider |
|---|---|
| Gender | Female |
| Speciality | Dentist - General Practice |
| Location | 1341 Clough Pike Ste 150, Batavia, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255546503 | NPI | - | NPPES |
| 0334460 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7034 (Arizona) | Secondary |
| 1223G0001X | Dentist - General Practice | 30.025253 (Ohio) | Primary |
| 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 Tanya Kiley Sackrider, DDS 424 Wards Corner Rd Ste 200, Loveland, OH 45140-6966 Ph: (513) 707-4041 | Dr Tanya Kiley Sackrider, DDS 1341 Clough Pike Ste 150, Batavia, OH 45103 Ph: (513) 732-5088 |
Dr. Stephen L Claybon, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 285 E Main St, Batavia, OH 45103 Phone: 513-732-0541 Fax: 513-732-0552 | |
Jaclyn M Fait, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3003 Hospital Dr, Batavia, OH 45103 Phone: 513-732-2277 | |
Dr. Thomas Paul Lustenberger, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 983 Old St Rt 74, Batavia, OH 45103 Phone: 513-752-6655 Fax: 513-752-2597 | |
Dr. Lewis Clair Brokaw, DDS Dentist Medicare: Medicare Enrolled Practice Location: 497 W Main St, Batavia, OH 45103 Phone: 513-735-9111 Fax: 513-735-9222 | |
Fatima Osman Saeed, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 285 E Main St Ste 6, Batavia, OH 45103 Phone: 513-732-0541 | |
Dr. Oneida Shushe, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 497 W Main St, Batavia, OH 45103 Phone: 513-735-9111 |