| Dayton Childrens Dental Center, Llc | |
|
4257 W 3rd St Dayton OH 45417-1406 | |
| (937) 268-1665 | |
| Not Available |
| Full Name | Dayton Childrens Dental Center, Llc |
|---|---|
| Speciality | Dentist |
| Location | 4257 W 3rd St, Dayton, Ohio |
| Authorized Official Name and Position | Lisa Ann Grammer (DISTRICT MANAGER) |
| Authorized Official Contact | 6158813808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dayton Childrens Dental Center, Llc 324 22nd Ave N Nashville TN 37203-1842 Ph: (615) 321-6176 | Dayton Childrens Dental Center, Llc 4257 W 3rd St Dayton OH 45417-1406 Ph: (937) 268-1665 |
| NPI Number | 1215336912 |
|---|---|
| Provider Enumeration Date | 08/19/2014 |
| Last Update Date | 01/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215336912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS4614 (Tennessee) | Primary |
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