Organization
CD OHIO DERRICK KRUGER DDS, INC.
Active
Other names
Family Dentistry of Blue Ash
Organization subpart
No
Provider details
NPI number
Authorized official
TY JUSTICE (DIRECTOR, CREDENTIALING & PAYER REL)
(513) 808-4984
Entity
Organization
Contact information
Practice address
4157 HUNT RD, BLUE ASH, OH 45236-1158
(513) 791-6154
(513) 791-1449
Mailing address
9825 KENWOOD RD STE 200, BLUE ASH, OH 45242-6252
(513) 808-4984
(513) 448-0511
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/17/2018
Last updated
01/06/2023
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