Provider Demographics
NPI:1912598814
Name:OH I DENTAL LLC
Entity Type:Organization
Organization Name:OH I DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROSTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGURNO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:954-587-9737
Mailing Address - Street 1:5651 DAVIE RD STE A
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33314-7121
Mailing Address - Country:US
Mailing Address - Phone:954-587-9737
Mailing Address - Fax:
Practice Address - Street 1:5651 DAVIE RD STE A
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33314-7121
Practice Address - Country:US
Practice Address - Phone:954-587-9737
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-02
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No1223P0700XDental ProvidersDentistProsthodonticsGroup - Multi-Specialty