| Montgomery County Board Of Dds | |
|
5450 Salem Ave Dayton OH 45426-1450 | |
| (937) 837-9200 | |
| (937) 854-0492 |
| Full Name | Montgomery County Board Of Dds |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5450 Salem Ave, Dayton, Ohio |
| Authorized Official Name and Position | Nancy A Banks (SUPERINTENDENT) |
| Authorized Official Contact | 9378379200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Montgomery County Board Of Dds 5450 Salem Ave Dayton OH 45426-1450 Ph: (937) 837-9258 | Montgomery County Board Of Dds 5450 Salem Ave Dayton OH 45426-1450 Ph: (937) 837-9200 |
| NPI Number | 1225395650 |
|---|---|
| Provider Enumeration Date | 04/23/2012 |
| Last Update Date | 03/15/2018 |
| Medicare PECOS PAC ID | 2264528603 |
|---|---|
| Medicare Enrollment ID | O20180530001929 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225395650 | NPI | - | NPPES |
| 2847012 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Julie Patrice Gentile |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801853726 PECOS PAC ID: 7416855424 Enrollment ID: I20031229000925 |
| Provider Name | Allison E Cowan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710185020 PECOS PAC ID: 4183816705 Enrollment ID: I20101014000014 |
| Provider Name | Danielle M Gainer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508043639 PECOS PAC ID: 1456520154 Enrollment ID: I20110815000763 |
| Provider Name | Carroll Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184097842 PECOS PAC ID: 6507121209 Enrollment ID: I20180601000948 |
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Eastway Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Wayne Ave, Dayton, OH 45410 Phone: 937-496-2000 Fax: 937-463-2901 | |
Best Life E-therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 Needmore Rd, Dayton, OH 45414 Phone: 937-764-3847 | |
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