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

Dermatology & Surgery of Southern Ohio, Inc

Organization Dermatology Physician · NPI 1952349466

Dermatology & Surgery of Southern Ohio, Inc is a Dermatology Physician in Fairfield, Ohio. Licensed in Ohio. Registered with an NPI since 2006.

Licensed in
OH
In the registry since
2006
Specialties on file
5
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

1213 Nilles Rd
Fairfield, OH 45014-2911
Phone: (513) 858-6900
Fax: (513) 858-6903
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 35060409 (OH)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 35060409 (OH)
Dermatopathology Physician Taxonomy 207ND0900X · Licence 35060409 (OH)
Pediatric Dermatology Physician Taxonomy 207NP0225X · Licence 35060409 (OH)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence 35060409 (OH)

Record details

NPI number1952349466
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joni Proft — Office Administrator · (513) 858-6900
NPI enumeratedJune 4, 2006
Last updated in NPPESJuly 20, 2010
Mailing addressPo Box 633048, Cincinnati, OH 45263-3048