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Specialty details in registry · Dayton, OH

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At a glance

6512 Harshmanville Rd, Dayton, OH 45424-3517

NPPES record updated Oct 10, 2025. Public records can lag behind changes at a practice.

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Practice location

6512 Harshmanville Rd
Dayton, OH 45424-3517

Professional details: NPI, taxonomy & registry record

NPI1588539266

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 343900000X
Enumeration date: Oct 10, 2025
Record updated: Oct 10, 2025

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

343900000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

6512 Harshmanville Rd
Dayton, OH 45424-3517

Phone: (937) 789-4655
Fax: (937) 789-4655

Mailing address

6512 HARSHMANVILLE RD

DAYTON, OH 454243517

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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