Provider Demographics
NPI:1306069877
Name:LENZ, ERICH D (DDS)
Entity type:Individual
Prefix:DR
First Name:ERICH
Middle Name:D
Last Name:LENZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6646 POWNER FARM DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45248-2972
Mailing Address - Country:US
Mailing Address - Phone:513-574-1477
Mailing Address - Fax:513-598-1700
Practice Address - Street 1:6431 BRIDGETOWN RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45248-2934
Practice Address - Country:US
Practice Address - Phone:513-574-1477
Practice Address - Fax:513-598-1700
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH208441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice