NPI 1154469765

Dayton Orthopedic Surgery and Sports Medicine Center

Organisation Exclusive Provider Organization Kettering, OH

Practice location

Address: 5491 Far Hills Ave, Kettering, OH 45429-2325
Phone: (937) 436-5763
Fax: (937) 436-7399
Mailing address: 1263 Kern Dr, Germantown, OH 45327-8358

Authorised official

Name: Jonathan Paley
Title: Orthopedic Surgeon
Phone: (937) 436-5763

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence AT.001991 (OH)

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Registry record

NPI: 1154469765
Entity type: Organization
NPI issued: 3 Feb 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.