Organization
DENTAL SERVICES OF OHIO
Active
Parent organization
DENTAL SERVICES OF OHIO
Other names
ImmediaDent
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL SERVICES OF OHIO
Authorized official
AMY WHEELER (CREDENTIALING COORDINATOR)
(913) 800-6952
Entity
Organization
Contact information
Practice address
7420 MILLER LN, DAYTON, OH 45414-2442
(937) 890-8901
(913) 800-6967
Mailing address
PO BOX 11568, OVERLAND PARK, KS 66207-4268
(913) 428-1674
(913) 800-6967
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
261QD0000X
Dental Clinic/Center
Primary
30-021038
OH
Other
Enumeration date
12/06/2007
Last updated
04/12/2017
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