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

Cd Ohio Derrick Kruger DDS, Inc

Organization General Practice Dentistry · NPI 1720838550

Cd Ohio Derrick Kruger DDS, Inc is a General Practice Dentistry in Ashtabula, Ohio. Registered with an NPI since 2024.

In the registry since
2024
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

2010 W 19th St
Ashtabula, OH 44004-9709
Phone: (440) 992-2700
Fax: (440) 964-0542
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1720838550
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ty Justice — Director, Credentialing · (513) 808-4984
Other names The Healthy Smile Center
NPI enumeratedMarch 25, 2024
Last updated in NPPESMarch 25, 2024
Certification dateMarch 25, 2024
Mailing address9825 Kenwood Rd Ste 200, Blue Ash, OH 45242-6252

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