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General NPI Number Information
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NPI Number | 1831370253
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Entity Type | Organization
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Legal Business Name | JOHN W. MYERS, D.D.S., M.S.D., INC.
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Dates
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Enumeration Date | 11/14/2007
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Last Update Date | 11/14/2007
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Provider Practice Location Address
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Address Line | 529 E STROOP RD
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City | DAYTON
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State | OH
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Zip | 45429-3245
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Country | US
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Telephone | 937-299-5290
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Fax |
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Provider Business Mailing Address
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Address Line | 529 E STROOP RD
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City | DAYTON
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State | OH
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Zip | 45429-3245
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Country | US
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Telephone | 937-299-5290
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN WILLIAM MYERS
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Credential | D.D.S.
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Telephone | 937-299-5290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 30019810
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License Number State | OH
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