Provider Demographics
NPI:1932704996
Name:CODY CHING DMD INC
Entity Type:Organization
Organization Name:CODY CHING DMD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CODY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHING
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:740-317-6655
Mailing Address - Street 1:157 FORESTVIEW DR
Mailing Address - Street 2:
Mailing Address - City:WINTERSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43953-9044
Mailing Address - Country:US
Mailing Address - Phone:740-317-6655
Mailing Address - Fax:
Practice Address - Street 1:347 W SPRING ST
Practice Address - Street 2:
Practice Address - City:CADIZ
Practice Address - State:OH
Practice Address - Zip Code:43907-1045
Practice Address - Country:US
Practice Address - Phone:740-317-6555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental