KENNETH BROCHIN, D.D.S., LLC
NPI 1447626049
Dentist - General Practice in Ottawa Hills, OH

Active since August 18, 2015
4210 W CENTRAL AVE, OTTAWA HILLS, OH 43606(419) 535-1066(419) 535-1379 Get Directions Write a Review

NPPES record last updated: August 18, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth Brochin, D.d.s., Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH BROCHIN, D.D.S., LLC (NPI 1447626049) is a healthcare organization registered as a general practice in Ottawa Hills, Ohio and active in the NPI registry since August 2015. The organization lists Deborah S Detterman, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1447626049
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKENNETH BROCHIN, D.D.S., LLC
Location Address4210 W CENTRAL AVEOttawa Hills, OH 43606-2270
Mailing Address4210 W Central AveOttawa Hills, OH 43606-2270 · (419) 535-1066 · Fax (419) 535-1379
Fax(419) 535-1379
Organization SubpartNo
Authorized OfficialDeborah S DettermanOffice Manager · (419) 535-1066
Enumeration DateAugust 18, 2015
NPI 1447626049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in OH · 15261
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4210 W CENTRAL AVE, Ottawa Hills, OH 43606

Other Identifiers 2

Medicare PIN068076OH
Medicaid0336023OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
4210 W CENTRAL AVE
OTTAWA HILLS, OH 43606

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Brochin, D.D.S., LLC's NPI number?

The NPI number for Kenneth Brochin, D.D.S., LLC is 1447626049. It was assigned to this organization in the NPPES registry on August 18, 2015.

Where is Kenneth Brochin, D.D.S., LLC located?

Kenneth Brochin, D.D.S., LLC is located at 4210 W Central Ave, Ottawa Hills, OH 43606. The listed phone number is (419) 535-1066.

What is Kenneth Brochin, D.D.S., LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Kenneth Brochin, D.D.S., LLC was last updated on August 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.