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COSMETIC & FAMILY DENTAL STUDIOS LLC NPI 1124090097


NPI Information

NPI: 1124090097
Provider Name: COSMETIC & FAMILY DENTAL STUDIOS, LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
36 S BYRNE RD
TOLEDO, OH
ZIP 43615
Phone: (419) 534-2479
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COSMETIC & FAMILY DENTAL STUDIOS, LLC is a general practice dentist in Toledo, OH. The provider is 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. COSMETIC & FAMILY DENTAL STUDIOS, LLC NPI is 1124090097. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

36 S BYRNE RD
TOLEDO, OH
ZIP 43615-211
Phone: (419) 534-2479
Fax: (419) 534-3260

The provider's authorized official is Abraham H Boadi .
The authorized official title is President & Ceo and has the following contact phone number (419) 534-2479.

The enumeration date for this NPI number is 2/6/2006 and was last updated on 8/22/2020.


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 Practice18842OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10719486MEDICAIDOHIO
218842-436156211OTHEROHIODELTA DENTAL OH/MI
301541OTHEROHIOPARAMOUNT ADVANTAGE

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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