Provider Demographics
NPI:1366511503
Name:DAHLING, WILLIAM CHARLES (DDS)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:CHARLES
Last Name:DAHLING
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:BILL
Other - Middle Name:CHARLES
Other - Last Name:DAHLING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1964 N LAKEMAN DR
Mailing Address - Street 2:
Mailing Address - City:BELLBROOK
Mailing Address - State:OH
Mailing Address - Zip Code:45305-1229
Mailing Address - Country:US
Mailing Address - Phone:937-848-6511
Mailing Address - Fax:937-848-6040
Practice Address - Street 1:1964 N LAKEMAN DR
Practice Address - Street 2:
Practice Address - City:BELLBROOK
Practice Address - State:OH
Practice Address - Zip Code:45305-1229
Practice Address - Country:US
Practice Address - Phone:937-848-6511
Practice Address - Fax:937-848-6040
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0138621223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR227790Medicaid