Unknown Individual – Oral & Maxillofacial Surgery (D.M.D.), NPI 1053389965
Oral & Maxillofacial Surgery (D.M.D.)
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Boom Box Buns, 1324, Main Street, Main Street Business District, Over-the-Rhine, Cincinnati, Hamilton County, Ohio, 45202, United States
CINCINNATI, OH 452630579
Phone: (513) 585-5506
Fax: (513) 585-5511
Type: Mailing
222, Piedmont Avenue, Pill Hill, Corryville, Cincinnati, Hamilton County, Ohio, 45219, United States
CINCINNATI, OH 452194231
Phone: (513) 475-8783
Fax: (513) 475-7698
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 45263)
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