Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Dermatology of Ohio, Inc

Organization Dermatology Physician · NPI 1760491401

Advanced Dermatology of Ohio, Inc is a Dermatology Physician in Mason, Ohio. Works from 2 locations. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4834 Socialville Foster Rd Ste 20
Mason, OH 45040-6827
Phone: (513) 459-1988
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2361 Lakeview Dr Unit 2361, Beavercreek, OH 45431-3695 — (937) 306-0200

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1760491401
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Declue — Director, Provider Services · (407) 875-2080
NPI enumeratedAugust 5, 2006
Last updated in NPPESOctober 25, 2023
Certification dateOctober 25, 2023
Mailing address151 Southhall Ln, Ste 300, Maitland, FL 32751-7176

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