Provider Demographics
NPI:1376560342
Name:EDWARD W. HESSE D.D.S., INC.
Entity type:Organization
Organization Name:EDWARD W. HESSE D.D.S., INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:HESSE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:513-738-2606
Mailing Address - Street 1:3740 ROSSGATE CT
Mailing Address - Street 2:SUITE B
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013-8687
Mailing Address - Country:US
Mailing Address - Phone:513-738-2606
Mailing Address - Fax:513-738-2604
Practice Address - Street 1:3740 ROSSGATE CT
Practice Address - Street 2:SUITE B
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013-8687
Practice Address - Country:US
Practice Address - Phone:513-738-2606
Practice Address - Fax:513-738-2604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300221911223G0001X
OH136781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty