Provider Demographics
NPI:1902795750
Name:DUBOIS, KRISTINA M (DMD)
Entity type:Individual
Prefix:
First Name:KRISTINA
Middle Name:M
Last Name:DUBOIS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 RACE ST APT 1207
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45202-3768
Mailing Address - Country:US
Mailing Address - Phone:774-287-3724
Mailing Address - Fax:
Practice Address - Street 1:7701 VOICE OF AMERICA CENTRE DR STE 200
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-2792
Practice Address - Country:US
Practice Address - Phone:513-653-2847
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-28
Last Update Date:2025-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0281111223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice