Individual
RICHARD TERRENCE DILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-2907
(937) 208-5415
Mailing address
5450 FAR HILLS AVE, SUITE 124, KETTERING, OH 45429-2386
(937) 435-2920
(937) 435-2190
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35.039864
OH
2080P0202X
Pediatric Cardiology Physician
35039864D
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0598509
—
OH
01
—
1247729
BLUE PROVIDER NUMBER
—
Enumeration date
09/08/2006
Last updated
11/19/2019
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