Provider Demographics
NPI:1649322652
Name:FLEMING, COURTNEY W (DDS)
Entity type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:W
Last Name:FLEMING
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1702 ALLENTOWN RD
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45805-1845
Mailing Address - Country:US
Mailing Address - Phone:419-222-0693
Mailing Address - Fax:
Practice Address - Street 1:1702 ALLENTOWN RD
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45805-1845
Practice Address - Country:US
Practice Address - Phone:419-222-0693
Practice Address - Fax:419-879-6478
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH217491223G0001X
OH30.021749122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice