NPI 1699182501 · live from the CMS NPI Registry
Dayton Dental Specialties
Dentist, Orthodontics and Dentofacial Orthopedics in Beavercreek, OH. National Provider Identifier 1699182501, active.
NPI record
| NPI | 1699182501 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 4235 Indian Ripple Rd, Suite 200a, Beavercreek, OH 45440 |
| Practice phone | 937-802-0901 |
| Enumerated | July 14, 2014 |
| Last updated | July 14, 2014 |
| Authorized official | Sanjeev Goel, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Endodontics | 1223E0200X | 22979 (OH) |
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 24125 (OH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.