# DEVER DENTAL LLC

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

## Provider details

- **NPI number:** 1699004218
- **Authorized official:** DR. MARTHA GERDSEN DEVER DDS (PRESIDENT)
- **Authorized official phone:** (513) 777-6444

## Contact information

- **Practice address:** 9144 CINCINNATI COLUMBUS RD, WEST CHESTER, OH 45069-3702
- **Practice address phone:** (513) 777-6444
- **Mailing address:** 9144 CINCINNATI COLUMBUS RD, WEST CHESTER, OH 45069-3702
- **Mailing address phone:** (513) 777-6444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 30-022401 | OH | Yes |

## Other

- **Enumeration date:** 12/10/2009
- **Last updated:** 12/10/2009