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Individual

PETER J. SHEMPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
3550 FAR HILLS AVE, DAYTON, OH 45429-2538
(937) 298-0908
(937) 298-3318
Mailing address
3550 FAR HILLS AVE, DAYTON, OH 45429-2538
(937) 298-0908
(937) 298-3318

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16876
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1043432818
NPI TYPE II
OH
Enumeration date
10/25/2007
Last updated
10/09/2012
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