CINCY PEDIATRIC DENTISTRY, LLC
NPI 1912547811
Dentist - Pediatric Dentistry in Liberty Township, OH

Q: What is Cincy Pediatric Dentistry, LLC's NPI number?

The NPI number for Cincy Pediatric Dentistry, LLC is 1912547811. It was assigned to this organization in the NPPES registry on January 9, 2020.

Q: What is Cincy Pediatric Dentistry, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since January 09, 2020

7777 YANKEE RD, LIBERTY TOWNSHIP, OH 45044(937) 245-0390 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 27, 2023, Jan 9, 2020 (2 updates tracked since 2020).

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About Cincy Pediatric Dentistry, Llc NPPES

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

CINCY PEDIATRIC DENTISTRY, LLC (NPI 1912547811) is a healthcare organization registered as a pediatric dentistry in Liberty Township, Ohio and active in the NPI registry since January 2020. The organization maintains a secondary practice location in Cincinnati and lists Lisa Marie Rudolph, Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1912547811

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameCINCY PEDIATRIC DENTISTRY, LLC

Location Address7777 YANKEE RDLiberty Township, OH 45044-3500

Mailing Address1131 Cryer AveCincinnati, OH 45208 · (513) 400-8551

Phone(937) 245-0390

Organization SubpartNo

Authorized OfficialLisa Marie RudolphPediatric Dentist · (513) 400-8551

Enumeration DateJanuary 9, 2020

Last NPPES UpdateFebruary 27, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 27, 2023

✔ NPI 1912547811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

7777 YANKEE RD, Liberty Township, OH 45044

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Secondary Practice Location 1

Location 11131 Cryer AveCincinnati, OH 45208 · Phone (513) 400-8551

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 20

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

MRS. MELANIE NORMAN ROMAINE-JONGEWAARD MS, CCC-SLP

Speech-Language Pathologist

7777 YANKEE RD
LIBERTY TOWNSHIP, OH 45044

Butler County (513) 803-8773

MRS. ROCIO DENISE ATARAMA RD, CSP, LD

Dietitian, Registered (Nutrition, Pediatric)

7777 YANKEE RD
LIBERTY TOWNSHIP, OH 45044

Butler County (513) 803-9344

MRS. HEATHER ANN CONNOR LISW

Social Worker

7777 YANKEE RD
LIBERTY TOWNSHIP, OH 45044

Butler County (513) 803-9600

SHANE E DULEMBA NP

Nurse Practitioner

7777 YANKEE RD, PSYCHIATRY - LIBERTY CAMPUS ML 16066
LIBERTY TOWNSHIP, OH 45044

Butler County (513) 803-9600

JODI MELINDA KELLEY CNP

Nurse Practitioner

7777 YANKEE RD, ML 16026
LIBERTY TOWNSHIP, OH 45044

Butler County (513) 803-9600

DANIELLE FOHL FNP

Nurse Practitioner

7777 YANKEE RD
LIBERTY TOWNSHIP, OH 45044

Butler County (513) 803-9600

MS. TYLER ALEXIS CRISP

Registered Nurse (Pediatrics)

7777 YANKEE RD
LIBERTY TOWNSHIP, OH 45044

Butler County (513) 803-9600

MS. NATASHA NICOLE ADAMS CFSA

Specialist/Technologist, Other (Surgical Assistant)

7777 YANKEE RD
LIBERTY TOWNSHIP, OH 45044

Butler County (513) 803-9300

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 Cincy Pediatric Dentistry, LLC's NPI number?

The NPI number for Cincy Pediatric Dentistry, LLC is 1912547811. It was assigned to this organization in the NPPES registry on January 9, 2020.

Where is Cincy Pediatric Dentistry, LLC located?

Cincy Pediatric Dentistry, LLC is located at 7777 Yankee Rd, Liberty Township, OH 45044. The listed phone number is (937) 245-0390.

What is Cincy Pediatric Dentistry, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Cincy Pediatric Dentistry, LLC was last updated on February 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.