Provider Demographics
NPI:1982970182
Name:MCNAMARA, TRISHA RENAE (DDS)
Entity Type:Individual
Prefix:DR
First Name:TRISHA
Middle Name:RENAE
Last Name:MCNAMARA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:TRISHA
Other - Middle Name:
Other - Last Name:GILLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:5177 N BEND RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45211-1900
Mailing Address - Country:US
Mailing Address - Phone:513-662-5203
Mailing Address - Fax:
Practice Address - Street 1:5177 N BEND RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45211-1900
Practice Address - Country:US
Practice Address - Phone:513-662-5203
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-01
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300242751223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry