Organization
PEDIATRIC DENTISTRY, JOHN A. GENNANTONIO, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY GRAF (OFFICE MANAGER)
(513) 474-6777
Entity
Organization
Contact information
Practice address
7801 BEECHMONT AVE, SUITE 5, CINCINNATI, OH 45255-4211
(513) 474-6777
(513) 474-2326
Mailing address
7801 BEECHMONT AVE, SUITE 5, CINCINNATI, OH 45255-4211
(513) 474-6777
(513) 474-2326
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
30019420
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000896937
UNITED CONCORDIA GROUP ID
OH
05
—
0924807
—
OH
Enumeration date
03/23/2006
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up