REAL DENTAL LLC (NPI# 1417487646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417487646 |
| Entity Type | Organization |
| Organization Name | REAL DENTAL LLC |
| Practice Address |
3012 Glenmore Ave Ste 206 Cincinnati OH 45238-2258 |
| Practice Telephone | (513) 661-6576 |
| Practice Fax Number | 5133767031 |
| Mailing Telephone | 5136616576 |
| Mailing Fax Number | 5133767031 |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2017-06-20 |
| Authorized Official Name | DR. RUCHIKA KHETARPAL (OWNER DENTIST) |
| Authorized Official Telephone | 5138188916 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
3012 GLENMORE AVE STE 206 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45238-2258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124645494 | Augustus Brock | Dentist | 3012 Glenmore Ave Ste 206, Cincinnati, OH 45238-2258 | 2020-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860588 | Corey Allison | Case Manager/Care Coordinator | 312 Glenmore Ave. Ste 14, Cincinnati, OH 45238 | 2020-10-29 |
| 1366077174 | Lawanda Antoinette Price | Counselor | 5122 Glenway Crossing Way, Cincinnati, OH 45238 | 2020-03-12 |
| 1639715808 | Bullock Dialysis LLC | Clinic/Center | 2290 Ferguson Rd, Cincinnati, OH 45238 | 2019-11-22 |
| 1629547021 | Abigail M Rebholz | Speech-Language Pathologist | 2039 Anderson Ferry Rd, Cincinnati, OH 45238 | 2018-11-15 |
| 1942667548 | Lashawnda C Gaston | Military Health Care Provider | 1322 Le Mar Dr, Cincinnati, OH 45238 | 2016-01-27 |
| 1134598402 | Abbie Crookham | Registered Nurse | 2146 Ferguson Rd., Cincinnati, OH 45238 | 2015-09-17 |
| 1518341346 | Kenyatta Shena Mccrary | Home Health Aide | 831 Greenwich Ave, Cincinnati, OH 45238 | 2015-07-10 |
| 1225431893 | Brooke Whalen | Dental Assistant | 2146 Ferguson Road, Cincinnati, OH 45238 | 2014-09-26 |
| 1669885588 | Moussa Demba | Medicare Defined Swing Bed Unit | 2484 Queen City Ave Apt 7, Cincinnati, OH 45238 | 2014-06-09 |
| 1811335961 | Kelly G Mirus | Specialist/Technologist | 5161 Ralph Ave, Cincinnati, OH 45238 | 2013-06-11 |
| Find all providers in zip 45238 | ||||
| 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 |
| 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 |
| 1265039465 | Fresh Dental | Clinic/Center | 11907 Montgomery Rd, Cincinnati, OH 45249-1794 | 2020-10-01 |
| 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 | 45238 |
Please comment or provide details below to improve the information on REAL DENTAL LLC.
| 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.