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NPI Code Detail

MEDICARE: ALAN D JANOFF DDS & DENNIS D BAUM DDS INC

MEDICARE: ALAN D JANOFF DDS & DENNIS D BAUM DDS INC
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
1122300000XDentist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073694881
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALAN D JANOFF DDS & DENNIS D BAUM DDS INC
Provider Business Mailing Address
First Line : 1203 SALEM AVE
Second Line :
City : DAYTON
State : OH
Zip : 45406-5044
Country : US
Telephone Number : 937-275-7448
Fax Number : 937-275-0018
Provider Business Practice Location Address
First Line : 1203 SALEM AVE
Second Line :
City : DAYTON
State : OH
Zip : 45406-5044
Country : US
Telephone Number : 937-275-7448
Fax Number : 937-275-0018
Authorized Official
Title or Position : VP DENTIST
Name : DR. ALAN D JANOFF
Credential : DDS
Telephone Number : 987-275-7448
Provider Enumeration Date : 10/18/2006
Last Update Date : 08/22/2020

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