Organization
CINCINNATIORAL&MAXILLOFACIAL SURGERY ASSOC.,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN P PIEPER DDS (VICE PRESIDENT)
(513) 385-8600
Entity
Organization
Contact information
Practice address
7611 CHEVIOT RD, CINCINNATI, OH 45247-4036
(513) 385-8600
Mailing address
7140 MIAMI AVE, CINCINNATI, OH 45243-2676
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
30019564
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M09928971
MEDICARE
OH
01
—
U42017
UPIN
OH
Enumeration date
08/22/2007
Last updated
08/22/2007
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