DAVID HICKEY DENTAL LLC NPI 1922583426

NPI Information

NPI: 1922583426
Provider Name: DAVID HICKEY DENTAL LLC

Doing Business As: MAD RIVER FAMILY DENTAL

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
7544 DAYTON SPRINGFIELD RD
FAIRBORN, OH
ZIP 45324
Phone: (937) 864-2341
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DAVID HICKEY DENTAL LLC is a dental clinic center in Fairborn, OH. DAVID HICKEY DENTAL LLC NPI is 1922583426. The provider is registered as an organization entity type.
The provider Is Doing Business As Mad River Family Dental.

The provider's business location address is:

7544 DAYTON SPRINGFIELD RD
FAIRBORN, OH
ZIP 45324-902
Phone: (937) 864-2341
Fax: (937) 864-1997

The provider's authorized official is Karen Snider .
The authorized official title is Office Manager and has the following contact phone number (937) 864-2341.

The enumeration date for this NPI number is 10/1/2018 and was last updated on 3/21/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

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

NPI Synchronization or Removal

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