Organization
HENSLEY PEDIATRIC DENTISTRY, INC.
Active
Other names
Dayton Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE MARTIN HENSLEY D.D.S. (PRESIDENT/PEDIATRIC DENTIST)
(937) 641-3455
Entity
Organization
Contact information
Practice address
1010 VALLEY ST STE 113, DAYTON, OH 45404-2070
(937) 641-3455
(937) 641-5448
Mailing address
1010 VALLEY ST STE 113, DAYTON, OH 45404-2070
(937) 641-3455
(937) 641-5448
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
21855
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188168619
—
OH
Enumeration date
12/22/2008
Last updated
06/05/2024
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