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NPI Code Detail

MEDICARE: CHASE RYAN CULBERTSON DDS

MEDICARE:   CHASE RYAN CULBERTSON  DDS
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 Dentistry30.026154OH

General Provider Information

NPI Number : 1063036721
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHASE RYAN CULBERTSON DDS
Provider Business Mailing Address
First Line : 7308 HILLGROVE CIR
Second Line :
City : FAIRBORN
State : OH
Zip : 45324-7595
Country : US
Telephone Number : 937-244-6471
Fax Number :
Provider Business Practice Location Address
First Line : 8051 WASHINGTON VILLAGE DR UNIT B
Second Line :
City : DAYTON
State : OH
Zip : 45458-1885
Country : US
Telephone Number : 937-977-1818
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2020
Last Update Date : 01/01/2026

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Directions to “ CHASE RYAN CULBERTSON DDS” Practice Location

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