Organization
DENTAL SLEEP THERAPY OF GREATER CINCINNATI PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONNIE DOUGLAS ELLIOTT JR. DMD (DOCTOR)
(859) 282-1632
Entity
Organization
Contact information
Practice address
265 MAIN ST, FLORENCE, KY 41042-2186
(859) 371-4620
(859) 746-5192
Mailing address
PO BOX 605, FLORENCE, KY 41022-0605
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7616
KY
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
02/27/2017
Last updated
06/25/2019
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