| Coleman Management Group Vandalia, Llc | |
|
8605 N Dixie Dr Dayton OH 45414-2403 | |
| (937) 264-1600 | |
| Not Available |
| Full Name | Coleman Management Group Vandalia, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8605 N Dixie Dr, Dayton, Ohio |
| Authorized Official Name and Position | Karly Coleman (OFFICE MANAGER) |
| Authorized Official Contact | 9372641600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coleman Management Group Vandalia, Llc 8605 N Dixie Dr Dayton OH 45414-2403 Ph: (937) 264-1600 | Coleman Management Group Vandalia, Llc 8605 N Dixie Dr Dayton OH 45414-2403 Ph: (937) 264-1600 |
| NPI Number | 1003545765 |
|---|---|
| Provider Enumeration Date | 06/08/2022 |
| Last Update Date | 06/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003545765 | NPI | - | NPPES |
| 1821210998 | Other | LEE R HENDRICKS | |
| 1457769846 | Other | CAITLIN LOCHTEFELD | |
| 1063903961 | Other | RACHEL EIFERT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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