SOUTH DAYTON ORAL & MAXILLOFACIAL SURGERY INC NPI 1942694583

NPI Information

SOUTH DAYTON ORAL & MAXILLOFACIAL SURGERY INC is an oral and maxillofacial surgery dentist in Dayton, OH. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. SOUTH DAYTON ORAL & MAXILLOFACIAL SURGERY INC NPI is 1942694583. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7325 FAR HILLS AVE
DAYTON, OH
ZIP 45459-415
Phone: (937) 439-1606

The provider's authorized official is Trent Tucker .
The authorized official title is President and has the following contact phone number (419) 680-0023.

The enumeration date for this NPI number is 3/20/2015 and was last updated on 3/20/2015.

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:

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