| Dayton Family Practice Associates Inc | |
|
3328 S Smithville Rd Dayton OH 45420-1500 | |
| (937) 254-5661 | |
| (937) 254-7367 |
| Full Name | Dayton Family Practice Associates Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3328 S Smithville Rd, Dayton, Ohio |
| Authorized Official Name and Position | David A Denka (PRESIDENT) |
| Authorized Official Contact | 9372545661 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dayton Family Practice Associates Inc 3328 S Smithville Rd Dayton OH 45420-1500 Ph: (937) 254-5661 | Dayton Family Practice Associates Inc 3328 S Smithville Rd Dayton OH 45420-1500 Ph: (937) 254-5661 |
| NPI Number | 1659371953 |
|---|---|
| Provider Enumeration Date | 07/28/2005 |
| Last Update Date | 06/25/2010 |
| Medicare PECOS PAC ID | 5890729719 |
|---|---|
| Medicare Enrollment ID | O20050921000012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659371953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4084 (Ohio) | Primary |
| Provider Name | David A Denka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801896139 PECOS PAC ID: 5597799304 Enrollment ID: I20100624000043 |
| Provider Name | Cynthia E Kallet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205836533 PECOS PAC ID: 2961436779 Enrollment ID: I20100626000203 |
| Provider Name | Zachary D Denka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972946242 PECOS PAC ID: 6305130766 Enrollment ID: I20160808001070 |
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