Healthcare Provider Details

I. General information

NPI: 1366420036
Provider Name (Legal Business Name): PARKWAY DENTAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2006
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6450 CENTERVILLE BUSINESS PARKWAY
CENTERVILLE OH
45324
US

IV. Provider business mailing address

6450 CENTERVILLE BUSINESS PKWY
CENTERVILLE OH
45459-2633
US

V. Phone/Fax

Practice location:
  • Phone: 937-435-9110
  • Fax: 937-435-0918
Mailing address:
  • Phone: 937-435-9110
  • Fax: 937-435-0918

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number30018542
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number30018533
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number15235
License Number StateOH

VIII. Authorized Official

Name: KEVIN F SCHAMEL
Title or Position: PRESIDENT
Credential: DDS
Phone: 513-763-2200