| Keep Smiling Dental Group Drs. Roddy & Palm Llc | |
|
4090 Indian Ripple Rd Ste 101 Beavercreek OH 45440-3292 | |
| (937) 426-5340 | |
| Not Available |
| Full Name | Keep Smiling Dental Group Drs. Roddy & Palm Llc |
|---|---|
| Speciality | Dentist |
| Location | 4090 Indian Ripple Rd Ste 101, Beavercreek, Ohio |
| Authorized Official Name and Position | Sue Rader (BUSINESS MANAGER) |
| Authorized Official Contact | 9374265340 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keep Smiling Dental Group Drs. Roddy & Palm Llc 4090 Indian Ripple Rd Ste 101 Beavercreek OH 45440-3292 Ph: (937) 426-5340 | Keep Smiling Dental Group Drs. Roddy & Palm Llc 4090 Indian Ripple Rd Ste 101 Beavercreek OH 45440-3292 Ph: (937) 426-5340 |
| NPI Number | 1710562251 |
|---|---|
| Provider Enumeration Date | 03/16/2021 |
| Last Update Date | 03/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710562251 | NPI | - | NPPES |
| 1013089770 | Other | NPPES | |
| 30.019043 | Other | OH | OHIO STATE DENTAL BOARD |
| 1376034488 | Other | NPPES | |
| 30.025388 | Other | OH | OHIO STATE DENTAL BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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