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CENTER FOR ADVANCED PERIODONTAL & IMPLANT CARE INC. NPI 1750782298


NPI Information

NPI: 1750782298
Provider Name: CENTER FOR ADVANCED PERIODONTAL & IMPLANT CARE, INC.
Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
4410 EXECUTIVE CIR NW
CANTON, OH
ZIP 44718
Phone: (330) 494-7004
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CENTER FOR ADVANCED PERIODONTAL & IMPLANT CARE, INC. is a periodontics dentist in Canton, OH. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. CENTER FOR ADVANCED PERIODONTAL & IMPLANT CARE, INC. NPI is 1750782298. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4410 EXECUTIVE CIR NW
CANTON, OH
ZIP 44718-983
Phone: (330) 494-7004
Fax: (330) 494-7071

The provider's authorized official is Constantin Farah .
The authorized official title is Ceo and has the following contact phone number (330) 494-7004.

The enumeration date for this NPI number is 9/15/2014 and was last updated on 9/15/2014.


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
1122300000XDentistNo
21223P0300XDentistPeriodonticsYes

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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