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

Premiere Plastic Cosmetic and Laser Surgery Center LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1770631392

Premiere Plastic Cosmetic and Laser Surgery Center LLC is an Ambulatory Surgical Clinic/Center in Kettering, Ohio. Licensed in Ohio. Registered with an NPI since 2007.

Licensed in
OH
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3533 Southern Blvd Ste 4400
Kettering, OH 45429-1264
Phone: (937) 294-9255
Fax: (937) 294-9256
Show map & directions

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

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence 037634 (OH)

Record details

NPI number1770631392
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Percy — President · (937) 294-9255
NPI enumeratedJanuary 8, 2007
Last updated in NPPESDecember 28, 2012
Mailing address3533 Southern Blvd, Suite 4400, Kettering, OH 45429-1264

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