MEDICARE: DAVID EUGENE DONNELLY 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	OH 18700	OH

General Provider Information

NPI Number	:	1295090140
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID EUGENE DONNELLY DDS

Provider Business Mailing Address
First Line	:	4972 DAYTON LIBERTY RD
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45417-5946
Country	:	US
Telephone Number	:	937-287-7201
Fax Number	:

Provider Business Practice Location Address
First Line	:	4972 DAYTON LIBERTY RD
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45417-5946
Country	:	US
Telephone Number	:	937-287-7201
Fax Number	:

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

Provider Enumeration Date	:	07/06/2012
Last Update Date	:	07/06/2012

Similar Medicare Providers

1316378003 — DR. BARRETT HENRY BOLTON M.D.
Practice Location Address:

1608 CATALPA DR
DAYTON, OH
45406-5946

Practice Phone: 937-275-6327
Practice Fax:

1558294686 — JENNIFER JOYCE BROWNING
Practice Location Address:

601 S EDWIN C MOSES BLVD
DAYTON, OH
45417-3424

Practice Phone: 937-734-8333
Practice Fax:

1760315741 — BUTLER COUNTY COMMUNITY HEALTH CONSORTIUM, INC.
Practice Location Address:

593 INFIRMARY RD
DAYTON, OH
45417-8749

Practice Phone: 513-454-1111
Practice Fax:

1235062225 — RASHAWNA EDWARDS APRN CNP
Practice Location Address:

830 GLENSDEL DR
DAYTON, OH
45417-8859

Practice Phone: 512-969-1009
Practice Fax:

1518666320 — MERCY OROCK PMHNP
Practice Location Address:

707 S EDWIN C MOSES BLVD
DAYTON, OH
45417-3462

Practice Phone: 937-234-2611
Practice Fax:

1619801206 — JOHN TOMLIN RPH
Practice Location Address:

721 MIAMI CHAPEL RD
DAYTON, OH
45417-4650

Practice Phone: 937-329-9786
Practice Fax: 937-432-9780

Directions to “ DAVID EUGENE DONNELLY DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.