Organization
NOONAN, BROCKMAN AND POLLOCK, D.D.S., INC.
Active
Other names
Noonan and Brockman, D.D.S., Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
AIMEE CORWIN (ACCOUNTS MANAGER)
(513) 423-9239
Entity
Organization
Contact information
Practice address
210 S BREIEL BLVD, MIDDLETOWN, OH 45044-5157
(513) 423-9239
(513) 423-4188
Mailing address
210 S BREIEL BLVD, MIDDLETOWN, OH 45044-5157
(513) 423-9239
(513) 423-4188
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
13948
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0184072
—
OH
05
—
0701379
—
OH
05
—
0743637
—
OH
05
—
2705826
—
OH
Enumeration date
10/17/2006
Last updated
05/07/2019
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