# DENTAL SLEEP THERAPY OF GREATER CINCINNATI PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265972137
- **Authorized official:** DR. RONNIE DOUGLAS ELLIOTT JR. DMD (DOCTOR)
- **Authorized official phone:** (859) 282-1632

## Contact information

- **Practice address:** 265 MAIN ST, FLORENCE, KY 41042-2186
- **Practice address phone:** (859) 371-4620
- **Practice address fax:** (859) 746-5192
- **Mailing address:** PO BOX 605, FLORENCE, KY 41022-0605

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 7616 | KY | Yes |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |

## Other

- **Enumeration date:** 02/27/2017
- **Last updated:** 06/25/2019