| Doc Family Dental | |
|
1010 Woodman Dr Dayton OH 45432-1400 | |
| (937) 252-2000 | |
| (937) 252-1224 |
| Full Name | Doc Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 1010 Woodman Dr, Dayton, Ohio |
| Authorized Official Name and Position | Garima Gupta (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 9374242215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Doc Family Dental 1010 Woodman Dr Dayton OH 45432-1400 Ph: (937) 252-2000 | Doc Family Dental 1010 Woodman Dr Dayton OH 45432-1400 Ph: (937) 252-2000 |
| NPI Number | 1265642748 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 01/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265642748 | NPI | - | NPPES |
| 0692415 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 30016151 (Ohio) | Primary |
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