Provider Demographics
NPI:1407971534
Name:BAYS, MARCIA L
Entity Type:Individual
Prefix:MRS
First Name:MARCIA
Middle Name:L
Last Name:BAYS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5340 RAPID RUN RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45238-4260
Mailing Address - Country:US
Mailing Address - Phone:513-922-1455
Mailing Address - Fax:513-922-8346
Practice Address - Street 1:5340 RAPID RUN RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45238-4260
Practice Address - Country:US
Practice Address - Phone:513-922-1455
Practice Address - Fax:513-922-8346
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH31004358124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist