OrganizationActive
Cincy Pediatric Dentistry, LLC
NPI 1912547811 · Pediatric Dentistry · Liberty Township, OH
Provider details
- NPI number
- 1912547811
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Lisa Rudolph, Pediatric Dentist(513) 400-8551
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
7777 Yankee Rd
Liberty Township, OH 45044-3500
Phone: (937) 245-0390
Approximate (ZIP-level) locationGet directions
Mailing address
1131 Cryer Ave
Cincinnati, OH 45208
Additional practice locations (1)
- 1131 Cryer AveCincinnati, OH 45208Phone: (513) 400-8551
Registry dates
- Enumerated
- 2020-01-09
- Last updated
- 2023-02-27
- Certified
- 2023-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.