Organization
OHIO DENTAL PROFESSIONALS, DELISLE, PC
Active
Parent organization
OHIO DENTAL PROFESSIONALS, DELISLE, P.C.
Other names
Meadowline Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
OHIO DENTAL PROFESSIONALS, DELISLE, P.C.
Authorized official
CEMYIRA MCDOUGAL (CREDENTIALING)
(217) 764-8609
Entity
Organization
Contact information
Practice address
1318 E DAYTON YELLOW SPRINGS RD, FAIRBORN, OH 45324-6348
(326) 685-2038
(326) 685-2039
Mailing address
1318 E DAYTON YELLOW SPRINGS RD, FAIRBORN, OH 45324-6348
(326) 685-2038
(326) 685-2039
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/12/2026
Last updated
08/12/2026
Update your record
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