Provider Demographics
NPI:1083338271
Name:RIVERSBEND DENTAL
Entity Type:Organization
Organization Name:RIVERSBEND DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMICK
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:513-494-0333
Mailing Address - Street 1:6270 RIVERS BEND DRIVE
Mailing Address - Street 2:
Mailing Address - City:MAINEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45039
Mailing Address - Country:US
Mailing Address - Phone:513-494-0333
Mailing Address - Fax:513-494-0222
Practice Address - Street 1:6270 RIVERS BEND DRIVE
Practice Address - Street 2:
Practice Address - City:MAINEVILLE
Practice Address - State:OH
Practice Address - Zip Code:45039
Practice Address - Country:US
Practice Address - Phone:513-494-0333
Practice Address - Fax:513-494-0222
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RIVERSBEND DENTAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-09-30
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty