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MARK A IACOBELLI D D S INC NPI 1548369564


NPI Information

NPI: 1548369564
Provider Name: MARK A IACOBELLI D D S INC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
8030 CORPORATE CIRCLE
NORTH ROYALTON, OH
ZIP 44133
Phone: (440) 845-7300
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MARK A IACOBELLI D D S INC is an oral and maxillofacial surgery dentist in North Royalton, OH. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. MARK A IACOBELLI D D S INC NPI is 1548369564. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8030 CORPORATE CIRCLE
NORTH ROYALTON, OH
ZIP 44133-245
Phone: (440) 845-7300
Fax: (440) 845-7785

The provider's authorized official is Mark Anthony Iacobelli .
The authorized official title is President and has the following contact phone number (440) 845-7300.

The enumeration date for this NPI number is 9/22/2006 and was last updated on 6/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice17096OHIONo
2122400000XDenturistNo
31223S0112XDentistOral and Maxillofacial SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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