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

Champaign Dental Group, Inc

Organization Dentist · NPI 1598771321

Champaign Dental Group, Inc is a Dentist in Urbana, Ohio. Licensed in Ohio. Registered with an NPI since 2006.

Licensed in
OH
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

139 Patrick Ave
Urbana, OH 43078-2123
Phone: (937) 653-8650
Fax: (937) 653-8606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 15524 (OH)

Record details

NPI number1598771321
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Mayse — Office Manager · (937) 653-8650
NPI enumeratedAugust 1, 2006
Last updated in NPPESAugust 22, 2020
Mailing address139 Patrick Ave, Urbana, OH 43078-2123

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