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NPI Code Detail

MEDICARE: DR. CYNTHIA CHRISTINE HEAD D.D.S., PHD

MEDICARE:  DR. CYNTHIA CHRISTINE HEAD  D.D.S., PHD
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 Dentistry30.022652OH

General Provider Information

NPI Number : 1740479203
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CYNTHIA CHRISTINE HEAD D.D.S., PHD
Provider Business Mailing Address
First Line : 721 MIAMI CHAPEL RD
Second Line :
City : DAYTON
State : OH
Zip : 45417-4650
Country : US
Telephone Number : 937-281-6800
Fax Number :
Provider Business Practice Location Address
First Line : 721 MIAMI CHAPEL RD
Second Line :
City : DAYTON
State : OH
Zip : 45417-4650
Country : US
Telephone Number : 937-281-6800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2007
Last Update Date : 03/25/2026

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Directions to “ DR. CYNTHIA CHRISTINE HEAD D.D.S., PHD” Practice Location

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