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NPI Code Detail

MEDICARE: DENTAL ASSOCIATES OF WEST CHESTER, LLC

MEDICARE: DENTAL ASSOCIATES OF WEST CHESTER, LLC
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
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1730999194
Entity Type Code : Organization
Provider Name (Legal Business Name) : DENTAL ASSOCIATES OF WEST CHESTER, LLC
Provider Business Mailing Address
First Line : 9215 CINCINNATI COLUMBUS RD STE 2
Second Line :
City : WEST CHESTER
State : OH
Zip : 45069-4178
Country : US
Telephone Number : 513-777-5513
Fax Number : 513-777-7157
Provider Business Practice Location Address
First Line : 9215 CINCINNATI COLUMBUS RD STE 2
Second Line :
City : WEST CHESTER
State : OH
Zip : 45069-4178
Country : US
Telephone Number : 513-777-5513
Fax Number : 513-777-7157
Authorized Official
Title or Position : OWNER
Name : DR. DAVID J MANEGOLD
Credential : D.M.D.
Telephone Number : 513-777-5513
Provider Enumeration Date : 01/08/2025
Last Update Date : 01/08/2025

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Directions to “DENTAL ASSOCIATES OF WEST CHESTER, LLC ” Practice Location

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