Provider Demographics
NPI:1013243369
Name:RICK R. DAYTON, DDS PC
Entity type:Organization
Organization Name:RICK R. DAYTON, DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORHA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MACNAUGHTON
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:616-458-2545
Mailing Address - Street 1:218 N. STATE ST.
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:MI
Mailing Address - Zip Code:49455
Mailing Address - Country:US
Mailing Address - Phone:231-861-5818
Mailing Address - Fax:231-861-4226
Practice Address - Street 1:218 N. STATE ST.
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:MI
Practice Address - Zip Code:49455
Practice Address - Country:US
Practice Address - Phone:231-861-5818
Practice Address - Fax:231-861-4226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-21
Last Update Date:2009-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty