# OLLOM DDS TIPP CITY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OLLOM ENTERPRISES LLC
- **Other names:** Pure Smiles Tipp City
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1750946794
- **Legal business name:** OLLOM ENTERPRISES LLC
- **Authorized official:** MRS. BOBBE CAMPBELL (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (937) 667-2417

## Contact information

- **Practice address:** 110 S TIPPECANOE DR, TIPP CITY, OH 45371-3104
- **Practice address phone:** (937) 667-2417
- **Mailing address:** 2115 ALLENTOWN RD, LIMA, OH 45805-1749
- **Mailing address phone:** (419) 228-4036

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/06/2019
- **Last updated:** 10/20/2021