MEDICARE: DR. DANIEL EUGENE DEVER 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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	30013868	OH

General Provider Information

NPI Number	:	1912283896
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL EUGENE DEVER DDS

Provider Business Mailing Address
First Line	:	9144 CINCINNATI COLUMBUS ROAD
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069
Country	:	US
Telephone Number	:	513-777-6444
Fax Number	:	888-760-2983

Provider Business Practice Location Address
First Line	:	9144 CINCINNATI COLUMBUS ROAD
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069
Country	:	US
Telephone Number	:	513-777-6444
Fax Number	:	888-760-2983

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

Provider Enumeration Date	:	10/24/2011
Last Update Date	:	11/09/2011

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