Organization
JCOYNEDDS LLC
Active
Other names
Coyne Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN WILLIAM COYNE D.D.S. (SOLE MEMBER)
(937) 298-2424
Entity
Organization
Contact information
Practice address
1749 DELCO PARK DR, KETTERING, OH 45420-1398
(937) 298-2424
(937) 298-2304
Mailing address
1749 DELCO PARK DR, KETTERING, OH 45420-1398
(937) 298-2424
(937) 298-2304
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-22096
OH
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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