Provider Demographics
NPI:1972358414
Name:DAYTON DENTAL CARE, INC
Entity Type:Organization
Organization Name:DAYTON DENTAL CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHESTER
Authorized Official - Middle Name:
Authorized Official - Last Name:TORKORNOO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:937-335-7460
Mailing Address - Street 1:475 TRADE SQ W
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:OH
Mailing Address - Zip Code:45373-2461
Mailing Address - Country:US
Mailing Address - Phone:937-335-7460
Mailing Address - Fax:
Practice Address - Street 1:475 TRADE SQ W
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:OH
Practice Address - Zip Code:45373-2461
Practice Address - Country:US
Practice Address - Phone:937-335-7460
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-18
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental