Individual
DR. DONALD ANTHONY DECHELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
60 MARWOOD CIR, BOARDMAN, OH 44512-6249
(330) 726-8060
(330) 726-4948
Mailing address
60 MARWOOD CIR, BOARDMAN, OH 44512-6249
(330) 726-8060
(330) 726-4948
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16735
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000072125
GATEWAY HEALTH PLAN
OH
05
—
0479049
—
OH
Enumeration date
12/06/2006
Last updated
07/08/2007
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