NPIMap

Organization Active NPI

Cory B Sellers DDS LLC

  • General Practice Dentistry
  • Dayton, OH
National Provider Identifier
1508573569
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CORY B SELLERS DDS LLC
Practice address
5395 Burkhardt Rd
Dayton, OH 45431-2109
Phone
(937) 253-3601
Fax
(937) 253-8071
NPI assigned
Oct 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cory B Sellers, DDSNPI 1699783480
Title
Owner
Phone
(937) 253-3601

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

5395 Burkhardt Rd
Dayton, OH 45431-2109

Mailing address

5395 Burkhardt Rd
Dayton, OH 45431-2109
Phone (937) 253-3601

Other names 1

  • DAYTON COMPREHENSIVE DENTISTRY Other name

National Provider Directory

National Provider Directory

Locations

5395 Burkhardt Rd
Riverside, OH 45431
Phone (937) 253-3601

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1508573569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5395 BURKHARDT RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454312109",
            "telephone_number": "937-253-3601",
            "fax_number": "937-253-8071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5395 BURKHARDT RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454312109",
            "telephone_number": "937-253-3601",
            "fax_number": "937-253-8071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORY B SELLERS DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "SELLERS",
        "authorized_official_first_name": "CORY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-253-3601",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DAYTON COMPREHENSIVE DENTISTRY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.