Provider Demographics
NPI:1467539817
Name:DOYLE, PATRICIA ANN (DDS)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ANN
Last Name:DOYLE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7655 5 MILE RD
Mailing Address - Street 2:SUITE 219
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45230-4326
Mailing Address - Country:US
Mailing Address - Phone:513-231-2026
Mailing Address - Fax:513-232-1249
Practice Address - Street 1:7655 5 MILE RD
Practice Address - Street 2:SUITE 219
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45230-4326
Practice Address - Country:US
Practice Address - Phone:513-231-2026
Practice Address - Fax:513-232-1249
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH 173301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHOH 17330OtherSTATE DENTAL LICENSE