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Active NPI 1356554778 Individual Practitioner Male Practitioner

Dr. Percival Frederick Dacosta , DDS

Dentist - General Practice • Dayton, OH

Professional Overview & Biography Verified Profile Summary

Dr. Percival Dacosta, DDS is a registered healthcare professional specializing in Dentist - General Practice in Dayton, OH. Practice services are available at 2234 SALEM AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2234 Salem Ave

Dayton, OH 454065627

Telephone 9372780891
Fax 9372785179

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Dayton, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.6 Yrs
Regional Practice Density
102 Specialists

Practicing in Dayton, OH (4287 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OH 30. 015929

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0371511 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Helen Holte-Dacosta , DDS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1104901677

Doctor of Dental Surgery

Joann Elder , MS

Social Worker - Clinical

NPI 1548300247

Master of Science

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 2234 SALEM AVE, DAYTON, OH 454065627 (Tel: 9372780891)

📍
Updated Business Mailing Address July 09, 2007

Registered at 2234 SALEM AVE, DAYTON, OH 454065627 (Tel: 9372780891)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as PERCIVAL DACOSTA, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #30. 015929 in OH)

🟢
Initial NPI Registration & Enumeration May 08, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356554778
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 08, 2007
Last Update: July 09, 2007
Sole Proprietor: Yes

Mailing Address

2234 Salem Ave

Dayton, OH 454065627

Phone: 9372780891

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.