Provider Demographics
NPI:1538633714
Name:DAYTON DENTAL GROUP YUCHUN ZHANG DDS INC
Entity type:Organization
Organization Name:DAYTON DENTAL GROUP YUCHUN ZHANG DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YUCHUN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHANG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:781-366-5004
Mailing Address - Street 1:6800 N DIXIE DR
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45414-3249
Mailing Address - Country:US
Mailing Address - Phone:937-890-4622
Mailing Address - Fax:
Practice Address - Street 1:6800 N DIXIE DR
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45414-3249
Practice Address - Country:US
Practice Address - Phone:937-890-4622
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-22
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental