Dr. Percival Frederick Dacosta is a Dayton, Ohio based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Percival Frederick Dacosta is 30. 015929 for General Practice Dentistry in Ohio. His current practice location is 2234 Salem Ave, Dayton. Patients can reach him at 937-278-0891.
Dr. Percival Frederick Dacosta is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Percival Frederick Dacosta speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Percival Frederick Dacosta
Specialization:
Dentist
Gender:
Male
Credentials:
D.D.S.
Accepts Medicare Assignment:
No
Practice Address:
2234 Salem Ave, Dayton, Ohio, 45406-5627
Phone:
937-278-0891
Fax:
937-278-5179
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1356554778
NPI Enumeration Date:
08 May, 2007
NPI Last Update On:
09 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Percival Frederick Dacosta are as mentioned below.
License Number
Specialization
State
Status
30. 015929
General Practice Dentistry
Ohio
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Percival Frederick Dacosta such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0371511
Medicaid
Ohio
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2234 Salem Ave, Dayton, Ohio
Zip:
45406-5627
Phone Number:
937-278-0891
Fax Number:
937-278-5179
Patients can reach Dr. Percival Frederick Dacosta at 2234 Salem Ave, Dayton, Ohio or can call to book an appointment on 937-278-0891. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.