Organization
UNIVERSITY DENTAL -SCOTT M EVERHART DDS & MAMTA M KORI DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DARLENE G MCINTOSH CREDENTIALING MNGR. (INS. & CREDENTIALING MANAGER)
(513) 217-5520
Entity
Organization
Contact information
Practice address
675 N UNIVERSITY BLVD, MIDDLETOWN, OH 45042-3355
(855) 908-3676
(513) 217-5649
Mailing address
675 N UNIVERSITY BLVD, MIDDLETOWN, OH 45042-3355
(855) 908-3676
(513) 217-5649
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2509397
—
OH
Enumeration date
04/02/2019
Last updated
10/07/2021
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