FRESH DENTAL (NPI# 1265039465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265039465 |
| Entity Type | Organization |
| Organization Name | FRESH DENTAL |
| Practice Address |
11907 Montgomery Rd Cincinnati OH 45249-1794 |
| Practice Telephone | 5136971211 |
| Practice Fax Number | 5136971214 |
| Mailing Telephone | 5136971211 |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2020-10-01 |
| Authorized Official Name | DR. EJAZ AHMED LAKHANI (DENTIST) |
| Authorized Official Telephone | 5136971211 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | FRESH DENTAL | 1730 Chambers St, Eugene, OR 97402 |
| New York State Corporations | FRESH DENTAL P.C. | 230 West 41st Street, 2nd Fl., New York, Ny 10036 |
| Street Address |
11907 MONTGOMERY RD |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45249-1794 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225239338 | Aaron Biesbrock | Dentist | 11907 Montgomery Rd, Suite B, Cincinnati, OH 45249-1726 | 2007-05-29 |
| 1851713234 | Merit Dental of Ohio II Jeffrey Moos Dds Inc | Dentist | 11907 Montgomery Rd, Suite B, Cincinnati, OH 45249-1726 | 2014-01-20 |
| 1922343896 | Ejaz Ahmed Lakhani | Dentist | 11907 Montgomery Rd, Suite B, Cincinnati, OH 45249 | 2012-12-04 |
| 1144583717 | Chad Michael Bierbaum | Dentist | 11907 Montgomery Rd, Cincinnati, OH 45249-1726 | 2012-06-19 |
| 1063613594 | John Alan Morgan | Dentist | 11907 Montgomery Rd, Suite B, Cincinnati, OH 45249-1726 | 2007-05-31 |
| 1619178217 | Lawrence Michael Miller | Dentist | 11907 Montgomery Rd, Suite B, Cincinnati, OH 45249-1726 | 2007-05-30 |
| 1255532263 | Jeanine Leslie Winston | Dentist | 11907 Montgomery Rd, Suite B, Cincinnati, OH 45249-1726 | 2007-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235668526 | Kayla Murray | Midwife | 8763 Weller Road, Cincinnati, OH 45249 | 2017-06-08 |
| 1992041214 | Ohio River Laboratories, LLC | Clinical Medical Laboratory | Ohio River Laboratories, LLC, 1841 Mason Montgomery Rd, Unit 1c, Cincinnati, OH 45249 | 2012-12-13 |
| 1073832762 | Aurora Home Care Inc. | In Home Supportive Care | 9042 Winthrop Drive, Cincinnati, OH 45249 | 2010-05-20 |
| 1407012842 | Dr Jennifer Munson Kidney Care Specialist LLC | Internal Medicine | 11397 Terwillingers Creek Drive, Cincinnati, OH 45249 | 2008-08-05 |
| 1114105244 | Individual Care Center | Community/Behavioral Health | 8833 Chapel Square Lane, Cincinnati, OH 45249 | 2008-01-31 |
| 1083823553 | James Michael Fuchs | Dentist | 8805 Governors Hill, #105, Cincinnati, OH 45249 | 2007-05-22 |
| 1871715474 | Conrad Thomas Landing | Physical Therapist | 8650 Govenors Hill Dr., Cincinnati, OH 45249 | 2007-05-03 |
| 1649317108 | Dr. E. M. Kirstein & Associates, Inc. | Optometrist | 8211 Cornell Rd., Suite 510, Cincinnati, OH 45249 | 2007-01-31 |
| 1790821791 | Melissa Elaine Bowman | Optometrist | 11919 Montgomery Rd, Cincinnati, OH 45249 | 2007-01-29 |
| 1477621258 | Sergio L Mezcua | Internal Medicine | 11140 Montgomery Road, Suite 2500, Montgomery, OH 45249 | 2006-12-01 |
| Find all providers in zip 45249 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789777 | Jennifer A. Lowe-melzak, Dds, LLC | Clinic/Center | 3349 Whitfield Ave Ste 1, Cincinnati, OH 45220-2084 | 2020-10-29 |
| 1376180562 | Cincinnati Dental Group LLC | Clinic/Center | 4605 E Galbraith Rd Ste 100, Cincinnati, OH 45236-2888 | 2019-12-06 |
| 1477034809 | Wessel Periodontics, LLC | Clinic/Center | 8221 Cornell Rd Ste 430, Cincinnati, OH 45249-2276 | 2018-08-23 |
| 1417487646 | Real Dental LLC | Clinic/Center | 3012 Glenmore Ave Ste 206, Cincinnati, OH 45238-2258 | 2017-06-20 |
| 1184161507 | Queen City Dental LLC | Clinic/Center | 7764 Colerain Ave Ste A, Cincinnati, OH 45239-4504 | 2017-01-24 |
| 1255540381 | Maria Chernyak Dmd,inc | Clinic/Center | 10700 Montgomery Rd Ste 220, Cincinnati, OH 45242-3260 | 2007-05-22 |
| 1497881163 | Spencer L. Fried, D.d.s., Inc | Clinic/Center | 800 Compton Rd., Suite 22, Cincinnati, OH 45231-3826 | 2007-02-26 |
| 1023156288 | Robert H Efkeman Dmd Inc | Clinic/Center | 1551 Marlowe Ave, Cincinnati, OH 45224 | 2007-02-01 |
| 1952918443 | Northside Dental Ryan Durner, Dds, LLC | Clinic/Center | 4254 Hamilton Ave, Cincinnati, OH 45223-2048 | 2020-09-28 |
| 1326671405 | Dental Sleep Solutions of Cincinnati | Clinic/Center | 4030 Smith Rd, Cincinnati, OH 45209-1957 | 2020-02-18 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45249 |
Please comment or provide details below to improve the information on FRESH DENTAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.