MEDICARE: SOUTH DAYTON FAMMILY DENTISTRY INC

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	122300000X	Dentist	16580	OH

General Provider Information

NPI Number	:	1528362951
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTH DAYTON FAMMILY DENTISTRY INC

Provider Business Mailing Address
First Line	:	4491 FAR HILLS AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45429-2405
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4491 FAR HILLS AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45429-2405
Country	:	US
Telephone Number	:	937-298-1353
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. SUE ROBINSON
Credential	:
Telephone Number	:	937-298-1353

Provider Enumeration Date	:	12/28/2010
Last Update Date	:	12/28/2010

Similar Medicare Providers

1871834481 — ROWIDA ABDALLA BDS
Practice Location Address:

4491 FAR HILLS AVE
DAYTON, OH
45429-2405

Practice Phone: 937-298-1353
Practice Fax:

1245684000 — ERIC M THUNEY MD
Practice Location Address:

4441 FAR HILLS AVE
DAYTON, OH
45429-2405

Practice Phone: 937-298-7351
Practice Fax: 937-298-9458

1720791445 — ANGELIQUE LYNETTE SLATER LMT
Practice Location Address:

4479 FAR HILLS AVE
DAYTON, OH
45429-2405

Practice Phone: 937-367-3420
Practice Fax:

1508547985 — CAROL ANN FISHER PT
Practice Location Address:

4403 FAR HILLS AVE
DAYTON, OH
45429-2405

Practice Phone: 937-395-3941
Practice Fax: 937-395-3950

1649262924 — DR. JOSEPH ROBERT MASTANDREA D.O.
Practice Location Address:

4441 FAR HILLS AVE
KETTERING, OH
45429-2405

Practice Phone: 937-298-7351
Practice Fax: 937-298-9458

1215993415 — DR. J MICHAEL THUNEY MD
Practice Location Address:

4441 FAR HILLS AVE
KETTERING, OH
45429-2405

Practice Phone: 937-298-7351
Practice Fax: 937-298-9458

Directions to “SOUTH DAYTON FAMMILY DENTISTRY INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.