Parkbay Dental Health Professionals Inc | |
6450 Centerville Business Parkway Centerville OH 45324 | |
(937) 435-9110 | |
(937) 435-0918 |
Full Name | Parkbay Dental Health Professionals Inc |
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Speciality | Dentist |
Location | 6450 Centerville Business Parkway, Centerville, Ohio |
Authorized Official Name and Position | Thomas H Lipf (PRESIDENT) |
Authorized Official Contact | 9374359110 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Parkbay Dental Health Professionals Inc 6450 Centerville Business Parkway Centerville OH 45324 Ph: (937) 435-9110 | Parkbay Dental Health Professionals Inc 6450 Centerville Business Parkway Centerville OH 45324 Ph: (937) 435-9110 |
NPI Number | 1366420036 |
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Provider Enumeration Date | 01/04/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1366420036 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 15235 (Ohio) | Primary |
122300000X | Dentist | 30018542 (Ohio) | Secondary |
122300000X | Dentist | 30018533 (Ohio) | Secondary |
Professional Dental Alliance Of Centerville, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9420 Dayton Lebanon Pike, Centerville, OH 45458 Phone: 937-433-8900 | |