NPI 1720051410 · live from the CMS NPI Registry
Dr. Tabachnik & Associates (Richmond), INC.
Dentist, General Practice in Mayfield Heights, OH. National Provider Identifier 1720051410, active.
NPI record
| NPI | 1720051410 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 1505 Golden Gate Plz, Mayfield Heights, OH 44124 |
| Practice phone | 440-646-0597 |
| Mailing address | 7160 Dallas Pkwy Ste 400, Plano, TX 75024 |
| Enumerated | February 11, 2006 |
| Last updated | March 19, 2018 |
| Authorized official | Rachel Nittinger, Manager Credentialing |
| Other names | Dentalworks Of Mayfield Heights |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Prosthodontics | 1223P0700X | — |
| Dentist | 122300000X | — |
| Dentist, Endodontics | 1223E0200X | — |
| Dentist, Pediatric Dentistry | 1223P0221X | — |
| Dentist, Periodontics | 1223P0300X | — |
| Dentist, Oral and Maxillofacial Surgery | 1223S0112X | — |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | — |
| Dentist, General Practice primary | 1223G0001X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.