OrganizationActive
Dental Services of Ohio
NPI 1104091651 · Dentist · Cincinnati, OH
Provider details
- NPI number
- 1104091651
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Parent organization
- Dental Services of Ohi
- Organization subpart
- Yes
- Authorized official
- Amy Wheeler, Credentialing Coordinator(913) 800-6952
- License
- 30-018565 (OH)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8340 Colerain Ave
Ste 1
Cincinnati, OH 45239-3916
Phone: (513) 385-5999
Fax: (913) 800-6967
Street-level locationGet directions
Mailing address
Po Box 11568
Overland Park, KS 66207-4268
Other names (DBA / former)
- Doing business as
- Immediadent
Registry dates
- Enumerated
- 2008-04-25
- Last updated
- 2017-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.