Provider Demographics
NPI:1104973882
Name:BYRON G EPLEY DDS INC
Entity type:Organization
Organization Name:BYRON G EPLEY DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BYRON
Authorized Official - Middle Name:G
Authorized Official - Last Name:EPLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:937-253-8958
Mailing Address - Street 1:709 XENIA AVE
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45410
Mailing Address - Country:US
Mailing Address - Phone:937-253-8958
Mailing Address - Fax:937-253-8958
Practice Address - Street 1:709 XENIA AVE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45410
Practice Address - Country:US
Practice Address - Phone:937-253-8958
Practice Address - Fax:937-253-8958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0126651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty