Bethany Dental LLC
Dentist in Liberty Township, OH. Organization (NPI-2).
NPI number1104724079
StatusActive
Last updated in NPPESOct 29, 2026
Details
- NPI
- 1104724079
- Entity type
- Organization (NPI-2)
- Legal business name
- Bethany Dental LLC
- Organization subpart
- No
- Enumeration date
- Oct 29, 2026
- Certification date
- Oct 29, 2026
- Last updated
- Oct 29, 2026
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 |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
6862 Liberty Plaza Dr Ste 500Liberty Township, OH 45044-9197
Phone 513-773-3171
Mailing address
6862 Liberty Plaza Dr Ste 500Liberty Township, OH 45044-9197
Phone 513-773-3171
Authorized official
Yuchun Zhang
Owner
5137733171
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 6 Dentist providers in Liberty Township · All 369 providers in Liberty Township
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