Provider Demographics
NPI:1679681332
Name:J. MICHAEL FUCHS DDS INC.
Entity Type:Organization
Organization Name:J. MICHAEL FUCHS DDS INC.
Other - Org Name:DBA AS FAMILY DENTAL CARE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:FUCHS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:513-697-2640
Mailing Address - Street 1:8805 GOVERNORS HILL DR
Mailing Address - Street 2:# 105
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45249-3314
Mailing Address - Country:US
Mailing Address - Phone:513-697-2640
Mailing Address - Fax:513-697-2650
Practice Address - Street 1:8805 GOVERNORS HILL DR
Practice Address - Street 2:# 105
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45249-3314
Practice Address - Country:US
Practice Address - Phone:513-697-2640
Practice Address - Fax:513-697-2650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-25
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300157491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH045682Medicaid