| Dayton Dental Collaborative | |
|
5685 Far Hills Ave Dayton OH 45429-2226 | |
| (937) 435-5163 | |
| (937) 291-9353 |
| Full Name | Dayton Dental Collaborative |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5685 Far Hills Ave, Dayton, Ohio |
| Authorized Official Name and Position | R. Gregory Shelhouse (OWNER DENTIST) |
| Authorized Official Contact | 9374355163 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dayton Dental Collaborative 5685 Far Hills Ave Dayton OH 45429-2226 Ph: (937) 435-5163 | Dayton Dental Collaborative 5685 Far Hills Ave Dayton OH 45429-2226 Ph: (937) 435-5163 |
| NPI Number | 1144465907 |
|---|---|
| Provider Enumeration Date | 12/09/2008 |
| Last Update Date | 12/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144465907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 15799 (Ohio) | Primary |
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