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Organization

DAYTON CHILDREN'S SPECIALTY PHYSICIANS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHRIS BERGMAN CFO (C.F.O.)
(937) 641-3338
Entity
Organization

Contact information

Practice address
1 CHILDRENS PLZ, DAYTON, OH 45404-1815
(937) 641-4000
(937) 641-4500
Mailing address
PO BOX 933432, CLEVELAND, OH 44193-0039
(937) 641-5072
(937) 641-6129

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
152WP0200X
Pediatric Optometrist
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
207W00000X
Ophthalmology Physician
207ZP0213X
Pediatric Pathology Physician
208000000X
Pediatrics Physician
Primary
208M00000X
Hospitalist Physician
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner
363LP0200X
Pediatric Nurse Practitioner
364SP0200X
Pediatric Clinical Nurse Specialist
367500000X
Certified Registered Nurse Anesthetist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0888633
OH
01
H557370
MEDICARE
Enumeration date
12/20/2006
Last updated
10/27/2025
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