Cleanslate Medical Group of Ohio LLC
Cleanslate Medical Group of Ohio LLC is an Addiction Medicine (Internal Medicine) Physician in Moraine, Ohio. Registered with an NPI since 2017.
- In the registry since
- 2017
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4700 Springboro Pike Ste CMoraine, OH 45439-1982
Phone: (937) 558-5100
Fax: (833) 279-7074
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction Medicine (Internal Medicine) Physician (primary) | Taxonomy 207RA0401X |
|---|
Record details
| NPI number | 1558800193 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Matthew Smolarek — Cfo · (412) 999-5188 |
| NPI enumerated | February 15, 2017 |
| Last updated in NPPES | December 17, 2025 |
| Certification date | December 17, 2025 |
| Mailing address | 8 Cadillac Dr Ste 300, Brentwood, TN 37027-5337 |