# OLLOM DDS MUDDY CREEK LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OLLOM ENTERPRISES LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1821751587
- **Legal business name:** OLLOM ENTERPRISES LLC
- **Authorized official:** MRS. JANE ANN CAMPBELL (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (567) 940-8141

## Contact information

- **Practice address:** 3650 MUDDY CREEK RD STE 200, CINCINNATI, OH 45238-2058
- **Practice address phone:** (513) 922-4221
- **Mailing address:** 2115 ALLENTOWN RD STE C, 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:** 10/20/2021
- **Last updated:** 10/20/2021