Provider Demographics
NPI:1013566116
Name:SHARONVILLE FAMILY DENTAL - MING YU DDS LLC
Entity Type:Organization
Organization Name:SHARONVILLE FAMILY DENTAL - MING YU DDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:SABRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-580-2000
Mailing Address - Street 1:11440 LIPPELMAN RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-4098
Mailing Address - Country:US
Mailing Address - Phone:513-771-9190
Mailing Address - Fax:
Practice Address - Street 1:11440 LIPPELMAN RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-4098
Practice Address - Country:US
Practice Address - Phone:513-771-9190
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-11
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental