| Dayton Pediatric Dentistry | |
|
1010 Valley St Ste 113 Dayton OH 45404-2070 | |
| (937) 641-3455 | |
| (937) 641-5448 |
| Full Name | Dayton Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1010 Valley St Ste 113, Dayton, Ohio |
| Authorized Official Name and Position | Kyle Martin Hensley (PRESIDENT/PEDIATRIC DENTIST) |
| Authorized Official Contact | 9376413455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dayton Pediatric Dentistry 1010 Valley St Ste 113 Dayton OH 45404-2070 Ph: (937) 641-3455 | Dayton Pediatric Dentistry 1010 Valley St Ste 113 Dayton OH 45404-2070 Ph: (937) 641-3455 |
| NPI Number | 1447496476 |
|---|---|
| Provider Enumeration Date | 12/22/2008 |
| Last Update Date | 06/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447496476 | NPI | - | NPPES |
| 188168619 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 21855 (Ohio) | Primary |
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