Provider Demographics
NPI:1497044846
Name:SEGHI, GARRETT ALEXANDER (DDS, MD)
Entity Type:Individual
Prefix:DR
First Name:GARRETT
Middle Name:ALEXANDER
Last Name:SEGHI
Suffix:
Gender:M
Credentials:DDS, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11438 LEBANON PIKE (RT.42)
Mailing Address - Street 2:SUITE # F
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45241
Mailing Address - Country:US
Mailing Address - Phone:513-769-5545
Mailing Address - Fax:513-769-3528
Practice Address - Street 1:11438 LEBANON PIKE (RT.42)
Practice Address - Street 2:SUITE # F
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45241
Practice Address - Country:US
Practice Address - Phone:513-769-5545
Practice Address - Fax:513-769-3528
Is Sole Proprietor?:No
Enumeration Date:2011-04-06
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.024926122300000X, 1223S0112X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program