Doctor Micah J'King Blaze, DMD

NPI 1124681069 · on the registry since 2019 · sole proprietor

Practice

Address: 5 E Liberty St
Cincinnati, OH 45202
Phone: (513) 721-6060
Organisation at this address: Pharmacy Over The Rhine
Dental One Over The Rhine
Christian Community Health
Proscan Pink Ribbon Center, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Registry record

Primary taxonomy: 122300000X
122300000X
Also registered as: 390200000X
1223G0001X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-02-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio