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PREMIERE PLASTIC COSMETIC AND LASER SURGERY CENTER LLC
NPI 1770631392
Clinic/Center - Ambulatory Surgical in Kettering, OH

Active since January 08, 2007
3533 SOUTHERN BLVD, SUITE 4400, KETTERING, OH 45429(937) 294-9255(937) 294-9256 Get Directions Write a Review

NPPES record last updated: December 28, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Premiere Plastic Cosmetic And Laser Surgery Center Llc NPPES

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

PREMIERE PLASTIC COSMETIC AND LASER SURGERY CENTER LLC (NPI 1770631392) is a healthcare organization registered as an ambulatory surgical in Kettering, Ohio and active in the NPI registry since January 2007. The organization lists Thomas Percy, President, as its authorized official.

NPPES Registry Identity

NPI1770631392
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePREMIERE PLASTIC COSMETIC AND LASER SURGERY CENTER LLC
Location Address3533 SOUTHERN BLVD, SUITE 4400Kettering, OH 45429-1264
Mailing Address3533 Southern Blvd, Suite 4400Kettering, OH 45429-1264 · (937) 294-9255 · Fax (937) 294-9256
Phone(937) 294-9255
Fax(937) 294-9256
Organization SubpartNo
Authorized OfficialThomas PercyPresident · (937) 294-9255
Enumeration DateJanuary 8, 2007
Last NPPES UpdateDecember 28, 2012
✔ NPI 1770631392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in OH · 037634
3533 SOUTHERN BLVD, Kettering, OH 45429
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Other Identifiers 2

Medicare PIN3612351OH
Medicaid3035227OH

Other Providers at the Same Location NPPES 20

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

DR. CAROL JOANNE SAWMILLER M.D.
Surgery
3533 SOUTHERN BLVD, SUITE 2250
KETTERING, OH 45429
Montgomery County (937) 534-0330
MIAMI VALLEY UROLOGY
Specialist
3533 SOUTHERN BLVD, STE 3450
KETTERING, OH 45429
Montgomery County (937) 293-0008
DR. JALEH ESLAMI M.D.
Plastic Surgery
3533 SOUTHERN BLVD, SUITE 4300
KETTERING, OH 45429
Montgomery County (937) 395-8454
CHRISTA SIEBENBURGEN M.D.
Surgery
3533 SOUTHERN BLVD, SUITE 2100
KETTERING, OH 45429
Montgomery County (937) 395-8556
DR. DAVID L TIBBITS M.D.
Anesthesiology
3533 SOUTHERN BLVD, STE 3400
KETTERING, OH 45429
Montgomery County (937) 293-8228
NICHOLAS A DONINGER PH.D
Clinical Neuropsychologist
3533 SOUTHERN BLVD, SUITE 5200
KETTERING, OH 45429
Montgomery County (937) 395-8043
SOUTHWEST CARDIOLOGY INC
Internal Medicine (Cardiovascular Disease)
3533 SOUTHERN BLVD, SUITE 2100
KETTERING, OH 45429
Montgomery County (937) 293-3486
RAGAVAN NARAYANAN M.D.
Surgery (Surgical Critical Care)
3533 SOUTHERN BLVD, SUITE 2100
KETTERING, OH 45429
Montgomery County (937) 395-8556

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 Premiere Plastic Cosmetic And Laser Surgery Center LLC's NPI number?

The NPI number for Premiere Plastic Cosmetic And Laser Surgery Center LLC is 1770631392. It was assigned to this organization in the NPPES registry on January 8, 2007.

Where is Premiere Plastic Cosmetic And Laser Surgery Center LLC located?

Premiere Plastic Cosmetic And Laser Surgery Center LLC is located at 3533 Southern Blvd Suite 4400, Kettering, OH 45429. The listed phone number is (937) 294-9255.

What is Premiere Plastic Cosmetic And Laser Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Premiere Plastic Cosmetic And Laser Surgery Center LLC was last updated on December 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.