Provider Demographics
NPI:1780466722
Name:RICHARD BOHME, DDS LLC
Entity type:Organization
Organization Name:RICHARD BOHME, DDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BOHME
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:937-275-8521
Mailing Address - Street 1:545 W SIEBENTHALER AVE
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45405-1865
Mailing Address - Country:US
Mailing Address - Phone:937-275-8521
Mailing Address - Fax:937-275-7578
Practice Address - Street 1:545 W SIEBENTHALER AVE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45405-1865
Practice Address - Country:US
Practice Address - Phone:937-275-8521
Practice Address - Fax:937-275-7578
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty