| Reichley Dental Group | |
|
1450 Hanes Rd Suite B Beavercreek OH 45434-6579 | |
| (937) 426-5560 | |
| Not Available |
| Full Name | Reichley Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1450 Hanes Rd, Beavercreek, Ohio |
| Authorized Official Name and Position | Rochelle Louise Reichley (PRESIDENT) |
| Authorized Official Contact | 9374265560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reichley Dental Group 1450 Hanes Rd Suite B Beavercreek OH 45434-6579 Ph: (937) 426-5560 | Reichley Dental Group 1450 Hanes Rd Suite B Beavercreek OH 45434-6579 Ph: (937) 426-5560 |
| NPI Number | 1922243047 |
|---|---|
| Provider Enumeration Date | 12/03/2008 |
| Last Update Date | 12/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922243047 | NPI | - | NPPES |
| 1659433902 | Other | INDIVIDUAL NPI AS PERSON AND PRACTITIONER VERSUS CORPORATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30.021404 (Ohio) | Primary |
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