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Advanced Dermatology of Ohio, Inc

Dermatology Physician in Mason, OH · enumerated 2006 · authorized official Amy Declue, Director, Provider Services.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1760491401

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Registry record

Entity type Organization (Type 2)
Legal business name Advanced Dermatology of Ohio, Inc
Practice address 4834 Socialville Foster Rd Ste 20, Mason, OH, 45040
Enumeration date Aug 5, 2006
Last updated in NPPES Oct 25, 2023

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Amy Declue
Title Director, Provider Services

Other identifiers

Identifier Type State Issuer
2531406 Medicaid OH -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-10-25. Verify at npiregistry.cms.hhs.gov.
Where is Advanced Dermatology of Ohio, Inc located?
The practice location on file with NPPES is in Mason, OH.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-10-25.