MEDICARE: DR. DAVID REX PATTON 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
1	122300000X	Dentist	19442	OH

General Provider Information

NPI Number	:	1255335998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID REX PATTON DDS

Provider Business Mailing Address
First Line	:	33001 SOLON RD
Second Line	:	STE 201
City	:	SOLON
State	:	OH
Zip	:	44139-2839
Country	:	US
Telephone Number	:	440-248-2035
Fax Number	:	440-248-2279

Provider Business Practice Location Address
First Line	:	33001 SOLON RD
Second Line	:	STE 201
City	:	SOLON
State	:	OH
Zip	:	44139-2839
Country	:	US
Telephone Number	:	440-248-2035
Fax Number	:	440-248-2279

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	07/08/2007

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