Provider Type Icon

DAYTON SKIN SURGERY CENTER INC NPI 1710932454


NPI Information

NPI: 1710932454
Provider Name: DAYTON SKIN SURGERY CENTER INC
Classification: Dermatology - 207ND0101X
Entity Type: Organization

Specialization: MOHS-Micrographic Surgery

CLIA Number: 36D0946938

Address:
3025 GOVERNORS PLACE BLVD
DAYTON, OH
ZIP 45409
Phone: (937) 293-5567
Get Directions

DAYTON SKIN SURGERY CENTER INC is a mohs-micrographic surgery dermatology in Dayton, OH. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. DAYTON SKIN SURGERY CENTER INC NPI is 1710932454. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3025 GOVERNORS PLACE BLVD
DAYTON, OH
ZIP 45409-330
Phone: (937) 293-5567
Fax: (937) 293-5568

The provider's authorized official is Heidi B Donnelly .
The authorized official title is Owner and has the following contact phone number (937) 293-5567.

The CLIA number assigned to this NPI record is 36D0946938 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 6/2/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ND0101XDermatologyMOHS-Micrographic Surgery35073167OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19327881MEDICARE ID-TYPE UNSPECIFIEDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.