Provider Demographics
NPI:1417055799
Name:DAVID B. KRILL,D.M.D.,INC.
Entity Type:Organization
Organization Name:DAVID B. KRILL,D.M.D.,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:BRADLEY
Authorized Official - Last Name:KRILL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:513-891-3933
Mailing Address - Street 1:10475 MONTGOMERY RD STE 1H
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-5200
Mailing Address - Country:US
Mailing Address - Phone:513-891-3933
Mailing Address - Fax:513-891-5979
Practice Address - Street 1:10475 MONTGOMERY RD STE 1H
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-5200
Practice Address - Country:US
Practice Address - Phone:513-891-3933
Practice Address - Fax:513-891-5979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH163641223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty