Kenneth Brochin, D.D.S., Llc

LBN: Kenneth Brochin, D.D.S., Llc
Kenneth Brochin, D.D.S., Llc is an health care organization with primary practice located at 4210 W Central Ave , Ottawa Hills OH 43606-2270. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Kenneth Brochin, D.D.S., Llc can be contacted via phone (419) 535-1066, or through Detterman, Deborah S via phone (419) 535-1066.

Contact Information

Primary practice address
4210 W Central Ave Ottawa Hills OH 43606-2270
Phone: (419) 535-1066
Fax: (419) 535-1379
Website:
Map and Directions
Authorized official contact:
Name: Detterman, Deborah S
Phone: (419) 535-1066

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 15261 Ohio

Profile Details

NPI number 1447626049
LBN Legal business name Kenneth Brochin, D.D.S., Llc
DBA Doing business as
Authorized official Detterman, Deborah S
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2015
Last updated Aug 18th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447626049 NPPES
Ohio MEDICAID 0336023

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