Organization
CHILDREN'S HOSPITAL MEDICAL CENTER
Active
Parent organization
CHILDREN'S HOSPITAL MEDICAL CENTER
Other names
Children's Hospital Medical Center - Division of Pediatric Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDREN'S HOSPITAL MEDICAL CENTER
Authorized official
CATHERINE E. GUTHRIE MS, CPMSM, CPCS (DIRECTOR MEDICAL STAFF SERVICES)
(513) 636-9691
Entity
Organization
Contact information
Practice address
3333 BURNET AVENUE, ML 2006, CINCINNATI, OH 45229-3039
(513) 636-4225
(513) 636-2511
Mailing address
3333 BURNET AVENUE, ML 5021, CINCINNATI, OH 45229-3026
(513) 636-4225
(513) 636-2511
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001065780-0005
—
PA
05
—
0282715
—
OH
05
—
100012670A
—
IN
05
—
61943189
—
KY
Enumeration date
02/13/2007
Last updated
10/26/2020
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