Sweet Tooth Comprehensive Dentistry

Dentist, General Practice in Cincinnati, OH. Organization (NPI-2).

NPI number1003207010

StatusActive

Last updated in NPPESFeb 12, 2015

Details

NPI: 1003207010
Entity type: Organization (NPI-2)
Legal business name: Sweet Tooth Comprehensive Dentistry
Organization subpart: No
Enumeration date: Feb 12, 2015
Last updated: Feb 12, 2015

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
1223G0001X	Dentist, General Practice	30.023231	OH	Yes

Practice location

2310 Baltimore Ave
Cincinnati, OH 45225-1104

Phone 513-541-5599

Mailing address

Po Box 36427
Cincinnati, OH 45236-0427

Phone 513-541-5599

Authorized official

Dawn Louise Broyles
Dentist/Owner
5135415599

Is something wrong?

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Other General Practice Dentistry providers in Cincinnati, OH

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