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NPI Code Detail

MEDICARE: DR. DAVID CHARLES PARCELLS DDS

MEDICARE:  DR. DAVID CHARLES PARCELLS  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 Dentistry17120OH

General Provider Information

NPI Number : 1396996658
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID CHARLES PARCELLS DDS
Provider Business Mailing Address
First Line : 50 PARK AVE
Second Line :
City : DAYTON
State : OH
Zip : 45419-3426
Country : US
Telephone Number : 937-299-4149
Fax Number : 937-299-4149
Provider Business Practice Location Address
First Line : 50 PARK AVE
Second Line :
City : DAYTON
State : OH
Zip : 45419-3426
Country : US
Telephone Number : 937-299-4149
Fax Number : 937-299-4149
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2008
Last Update Date : 10/06/2008

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Directions to “ DR. DAVID CHARLES PARCELLS DDS” Practice Location

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