Healthcare Provider Details

I. General information

NPI: 1811141559
Provider Name (Legal Business Name): DAYTON PHYSICIANS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2008
Last Update Date: 06/04/2025
Certification Date: 06/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9000 N MAIN ST STE 200
DAYTON OH
45415
US

IV. Provider business mailing address

PO BOX 635098
CINCINNATI OH
45263-5098
US

V. Phone/Fax

Practice location:
  • Phone: 937-832-8400
  • Fax:
Mailing address:
  • Phone: 937-280-8350
  • Fax: 937-280-8373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: BRENDA SERGENT
Title or Position: CREDENTIALING
Credential:
Phone: 937-280-8400