| Family Orthodontics Of Ohio Jim Shealy Dds Llc | |
|
4440 Linden Ave Dayton OH 45432-3031 | |
| (937) 252-8651 | |
| Not Available |
| Full Name | Family Orthodontics Of Ohio Jim Shealy Dds Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4440 Linden Ave, Dayton, Ohio |
| Authorized Official Name and Position | Tamonia Leonard (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 6782444844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Orthodontics Of Ohio Jim Shealy Dds Llc 1350 Spring St Nw Ste 600 Atlanta GA 30309-2870 Ph: () - | Family Orthodontics Of Ohio Jim Shealy Dds Llc 4440 Linden Ave Dayton OH 45432-3031 Ph: (937) 252-8651 |
| NPI Number | 1063929487 |
|---|---|
| Provider Enumeration Date | 01/08/2018 |
| Last Update Date | 01/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063929487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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