Miss Amanda R Medina, DENTAL ASSISTANT is a
Dental Assistant based in Dayton, Ohio. Miss Amanda R Medina is licensed to practice in Ohio (license number 00845) and her current practice location is
1 Childrens Plz, Suite 2070, Dayton, Ohio. She can be reached at her office (for appointments etc.) via phone at
(937) 641-3455.
NPI number for Miss Amanda R Medina is 1861629099 and her current mailing address is 725 Patterson Rd, Apartment #2, Dayton, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861629099.
Healthcare Provider's Profile
Full Name | Miss Amanda R Medina |
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Gender | Female |
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Speciality | Dental Assistant |
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Location | 1 Childrens Plz, Dayton, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861629099
- Provider Enumeration Date: 06/15/2009
- Last Update Date: 06/15/2009
Medical Identifiers
Medical identifiers for Miss Amanda R Medina such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861629099 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223P0221X | Dentist - Pediatric Dentistry | 00845 (Ohio) | Secondary |
126800000X | Dental Assistant | 00845 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Amanda R Medina is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Miss Amanda R Medina, DENTAL ASSISTANT 725 Patterson Rd, Apartment #2, Dayton, OH 45419-4319 Ph: (937) 344-4291 | Miss Amanda R Medina, DENTAL ASSISTANT 1 Childrens Plz, Suite 2070, Dayton, OH 45404-1898 Ph: (937) 641-3455 |
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