Provider Demographics
NPI:1023534047
Name:BLUE ASH SMILES GROUP INC
Entity type:Organization
Organization Name:BLUE ASH SMILES GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:ROHIT
Authorized Official - Middle Name:
Authorized Official - Last Name:REDDY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:513-793-3535
Mailing Address - Street 1:9346 TOWNE SQUARE AVE
Mailing Address - Street 2:
Mailing Address - City:BLUE ASH
Mailing Address - State:OH
Mailing Address - Zip Code:45242-6943
Mailing Address - Country:US
Mailing Address - Phone:513-793-3535
Mailing Address - Fax:513-891-2598
Practice Address - Street 1:9346 TOWNE SQUARE AVE
Practice Address - Street 2:
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45242-6943
Practice Address - Country:US
Practice Address - Phone:513-793-3535
Practice Address - Fax:513-891-2598
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty