Individual
DR. STACEY MICHELE BLUME-SOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4030 SMITH RD, SUITE 225, CINCINNATI, OH 45209-1957
(513) 871-8488
(513) 871-8490
Mailing address
644 OVERTON ST, NEWPORT, KY 41071-2010
(513) 200-3844
(513) 871-8490
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2173
KY
1223G0001X
General Practice Dentistry
Primary
25387
OH
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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