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General NPI Number Information
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NPI Number | 1366420036
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Entity Type | Organization
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Legal Business Name | PARKWAY DENTAL INC
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Dates
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Enumeration Date | 01/04/2006
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 6450 CENTERVILLE BUSINESS PARKWAY
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City | CENTERVILLE
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State | OH
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Zip | 45324
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Country | US
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Telephone | 937-435-9110
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Fax | 937-435-0918
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Provider Business Mailing Address
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Address Line | 6450 CENTERVILLE BUSINESS PKWY
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City | CENTERVILLE
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State | OH
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Zip | 45459-2633
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Country | US
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Telephone | 937-435-9110
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Fax | 937-435-0918
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Authorized Official
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Title or Position | PRESIDENT
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Name | KEVIN F SCHAMEL
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Credential | DDS
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Telephone | 513-763-2200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 30018542
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 30018533
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 15235
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License Number State | OH
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