NPI 1205974078 · live from the CMS NPI Registry
Charles P Fenell DDS Ms INC
Dentist, Orthodontics and Dentofacial Orthopedics in South Euclid, OH. National Provider Identifier 1205974078, active.
NPI record
| NPI | 1205974078 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 4568 Mayfield Rd, Suite #203, South Euclid, OH 44121 |
| Practice phone | 216-291-9473 |
| Enumerated | February 2, 2007 |
| Last updated | August 22, 2020 |
| Authorized official | Charles Fenell, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 14662 (OH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.