Individual
DR. DEEPAK GOPALA KRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
222 PIEDMONT AVE, STE. 7300, CINCINNATI, OH 45219-4231
(513) 475-8783
(513) 475-7698
Mailing address
PO BOX 630579, CINCINNATI, OH 45263-0579
(513) 585-5501
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
30.024214
OH
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
71.000216
OH
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
71000216
OH
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
30-024214
OH
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
30.024214
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2900874
—
OH
05
—
3000055692
—
IN
05
—
7100056050
—
KY
Enumeration date
06/05/2008
Last updated
05/12/2026
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