| Nathaniel Todd Edmunds, DMD | |
| 
					867 Eastgate North Dr, Cincinnati, OH 45245-1791  | |
| (513) 843-0133 | |
| Not Available | 
| Full Name | Nathaniel Todd Edmunds | 
|---|---|
| Gender | Male | 
| Speciality | Dentist - Oral And Maxillofacial Surgery | 
| Location | 867 Eastgate North Dr, 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 | 
|---|---|---|---|
| 1275067704 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 13421345-9925 (Utah) | Primary | 
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 30.026872 (Ohio) | Secondary | 
| Entity Name | Ut Oms Specialty Dental Services Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1376206755 PECOS PAC ID: 1850786112 Enrollment ID: O20220323001638  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Nathaniel Todd Edmunds, DMD 10884 N Slate Ln, Highland, UT 84003-4300 Ph: (801) 678-9518  | Nathaniel Todd Edmunds, DMD 867 Eastgate North Dr, Cincinnati, OH 45245-1791 Ph: (513) 843-0133  | 
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  |