MEDICARE: DR. DAVID CHARLES PARCELLS DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	17120	OH

General Provider Information

NPI Number	:	1396996658
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID CHARLES PARCELLS DDS

Provider Business Mailing Address
First Line	:	50 PARK AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45419-3426
Country	:	US
Telephone Number	:	937-299-4149
Fax Number	:	937-299-4149

Provider Business Practice Location Address
First Line	:	50 PARK AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45419-3426
Country	:	US
Telephone Number	:	937-299-4149
Fax Number	:	937-299-4149

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2008
Last Update Date	:	10/06/2008

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