Provider Demographics
NPI:1487068359
Name:MOLZAHN, CAROLYN SIMPSON (DDS)
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:SIMPSON
Last Name:MOLZAHN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 WAHINGTON RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15228-9258
Mailing Address - Country:US
Mailing Address - Phone:513-248-0656
Mailing Address - Fax:513-248-0566
Practice Address - Street 1:5616 WOLFPEN PLEASANT HILL RD
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-9258
Practice Address - Country:US
Practice Address - Phone:513-248-0656
Practice Address - Fax:513-248-0566
Is Sole Proprietor?:No
Enumeration Date:2014-06-18
Last Update Date:2019-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-024233122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist