Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Beavercreek Dermatology LLC

Organization Dermatology Physician · NPI 1265535140

Beavercreek Dermatology LLC is a Dermatology Physician in Beavercreek, Ohio. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3572 Dayton-Xenia Rd Ste 105
Beavercreek, OH 45432-2838
Phone: (937) 427-4600
Fax: (937) 427-4520
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X
Dermatology Physician Taxonomy 207N00000X

Record details

NPI number1265535140
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathryn Balazs — Practice Owner Physician · (937) 427-4600
NPI enumeratedSeptember 6, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address3572 Dayton-Xenia Rd, Suite 105, Beavercreek, OH 45432-2838

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