Provider Demographics
NPI:1457807448
Name:AFFORDABLE DENTURES - DAYTON, WILLIAM SILVESTRY ORTIZ, DMD, INC.
Entity Type:Organization
Organization Name:AFFORDABLE DENTURES - DAYTON, WILLIAM SILVESTRY ORTIZ, DMD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVESTRY-ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:937-428-6590
Mailing Address - Street 1:233 N SPRINGBORO PIKE
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45449-3641
Mailing Address - Country:US
Mailing Address - Phone:937-428-6590
Mailing Address - Fax:
Practice Address - Street 1:233 N SPRINGBORO PIKE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45449-3641
Practice Address - Country:US
Practice Address - Phone:937-428-6590
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-30
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.023629122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty