Basic Information
| Provider Information | |||||||||
| NPI: | 1609882364 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DRUMMOND | ||||||||
| FirstName: | KRISTINE | ||||||||
| MiddleName: | MAYHEW | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | DDS, MPH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1400 S ARLINGTON ST | ||||||||
| Address2: | SUITE 38 | ||||||||
| City: | AKRON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 443063750 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3307245471 | ||||||||
| FaxNumber: | 3307852054 | ||||||||
| Practice Location | |||||||||
| Address1: | 1400 S ARLINGTON ST | ||||||||
| Address2: | SUITE 38 | ||||||||
| City: | AKRON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 443063750 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3307852044 | ||||||||
| FaxNumber: | 3307852054 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/01/2006 | ||||||||
| LastUpdateDate: | 02/02/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1223D0001X | 0401005667 | VA | N | Dental Providers | Dentist | Dental Public Health | 1223D0001X | 30.022691 | OH | Y | Dental Providers | Dentist | Dental Public Health |
No ID Information.