Provider Demographics
NPI:1417104571
Name:MIHAILOFF, ALEX KIRIL (DDS, MSD)
Entity Type:Individual
Prefix:DR
First Name:ALEX
Middle Name:KIRIL
Last Name:MIHAILOFF
Suffix:
Gender:M
Credentials:DDS, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9200 MONTGOMERY RD
Mailing Address - Street 2:STE 22A
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242
Mailing Address - Country:US
Mailing Address - Phone:513-793-6500
Mailing Address - Fax:513-793-0905
Practice Address - Street 1:9200 MONTGOMERY RD
Practice Address - Street 2:STE 22A
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242
Practice Address - Country:US
Practice Address - Phone:513-793-6500
Practice Address - Fax:513-793-0905
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-20
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH203761223E0200X
KY6731223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics