Provider Demographics
NPI:1184471773
Name:KELSEY SOTKIEWICZ DDS LLC
Entity type:Organization
Organization Name:KELSEY SOTKIEWICZ DDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KELSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SOTKIEWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:937-733-9023
Mailing Address - Street 1:257 MILLVILLE OXFORD RD
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013-4476
Mailing Address - Country:US
Mailing Address - Phone:513-867-8459
Mailing Address - Fax:513-867-8406
Practice Address - Street 1:257 MILLVILLE OXFORD RD
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013-4476
Practice Address - Country:US
Practice Address - Phone:513-867-8459
Practice Address - Fax:513-867-8406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-02
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice