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MECKLER DENTAL PROVIDERS (SOUTH PLAZA) INC. NPI 1275506966


NPI Information

NPI: 1275506966
Provider Name: MECKLER DENTAL PROVIDERS (SOUTH PLAZA), INC.

Doing Business As: DENTALWORKS OF SOUTH PLAZA

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
378 E WATERLOO RD
AKRON, OH
ZIP 44319
Phone: (330) 724-7401
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MECKLER DENTAL PROVIDERS (SOUTH PLAZA), INC. is a general practice dentist in Akron, 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. MECKLER DENTAL PROVIDERS (SOUTH PLAZA), INC. NPI is 1275506966. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Dentalworks Of South Plaza.

The provider's business location address is:

378 E WATERLOO RD
AKRON, OH
ZIP 44319-237
Phone: (330) 724-7401
Fax: (216) 584-1037

The provider's authorized official is Rachel Nittinger .
The authorized official title is Manager Credentialing and has the following contact phone number (972) 755-0816.

The enumeration date for this NPI number is 2/11/2006 and was last updated on 2/8/2018.


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
21223E0200XDentistEndodonticsNo
31223G0001XDentistGeneral PracticeYes
41223G0001XDentistGeneral Practice30.017994OHIONo
51223P0221XDentistPediatric DentistryNo
61223P0300XDentistPeriodonticsNo
71223P0700XDentistProsthodonticsNo
81223S0112XDentistOral and Maxillofacial SurgeryNo
91223X0400XDentistOrthodontics and Dentofacial OrthopedicsNo

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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