Provider Demographics
NPI:1427581057
Name:BHANA, ASHLEY (DDS, MS)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:BHANA
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:HUTCHISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS, MS
Mailing Address - Street 1:1283 IDA ST APT 1
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45202-1542
Mailing Address - Country:US
Mailing Address - Phone:870-405-1950
Mailing Address - Fax:
Practice Address - Street 1:5964 OH-48
Practice Address - Street 2:
Practice Address - City:MAINEVILLE
Practice Address - State:OH
Practice Address - Zip Code:45039
Practice Address - Country:US
Practice Address - Phone:513-239-8104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-10
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN10442122300000X, 1223X0400X
OH30.025674122300000X, 1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
No122300000XDental ProvidersDentist