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Individual

DR. TANYA KILEY SACKRIDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
4627 AICHOLTZ RD, CINCINNATI, OH 45244-1447
(513) 753-2821
(513) 528-0593
Mailing address
424 WARDS CORNER RD STE 200, LOVELAND, OH 45140-6966
(513) 707-4041

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.025253
OH
1223G0001X
General Practice Dentistry
7034
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0334460
OH
Enumeration date
05/11/2007
Last updated
03/26/2026
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