Provider Demographics
NPI:1326801127
Name:LEAR, EMILY
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:LEAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4590 FACTORY COLONY LN UNIT 317
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45209-1092
Mailing Address - Country:US
Mailing Address - Phone:607-481-5282
Mailing Address - Fax:
Practice Address - Street 1:285 E MAIN ST STE 6
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:OH
Practice Address - Zip Code:45103-3041
Practice Address - Country:US
Practice Address - Phone:513-732-0541
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-05
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH390200000X
OH30.0278811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program