Organization
SHELHOUSE DENTAL GROUP LLC
Active
Other names
Dayton Dental Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
PAM BROWN (OFFICE MANAGER)
(937) 439-0275
Entity
Organization
Contact information
Practice address
1601 NEEDMORE RD, DAYTON, OH 45414-3855
(937) 898-8980
(937) 898-4887
Mailing address
1601 NEEDMORE RD, DAYTON, OH 45414-3855
(937) 898-8980
(937) 898-4887
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1234
DENTAL OFFICE
—
Enumeration date
03/05/2013
Last updated
03/05/2013
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