Provider Demographics
NPI:1265097901
Name:CINCISMILES LLC
Entity type:Organization
Organization Name:CINCISMILES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:KITZMILLER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:425-503-1607
Mailing Address - Street 1:5722 SIGNAL HILL CT STE A
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-1492
Mailing Address - Country:US
Mailing Address - Phone:425-503-1607
Mailing Address - Fax:425-671-0756
Practice Address - Street 1:5722 SIGNAL HILL CT STE A
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-1492
Practice Address - Country:US
Practice Address - Phone:513-248-8848
Practice Address - Fax:425-671-0756
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-08
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized EquipmentGroup - Multi-Specialty