1285784934 NPI number — TOLEDO PERIODONTICS

Table of content: (NPI 1285784934)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285784934 NPI number — TOLEDO PERIODONTICS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TOLEDO PERIODONTICS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
ZIAD N.TOHME,D.M.D.,D.SC.
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1285784934
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5937 RENAISSANCE PL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TOLEDO
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43623-4709
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-321-1036
Provider Business Mailing Address Fax Number:
419-882-4519

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5937 RENAISSANCE PLACE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TOLEDO
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43623-4709
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-321-1036
Provider Business Practice Location Address Fax Number:
419-882-4519
Provider Enumeration Date:
01/12/2007

Additional Information

Authorized Official

Authorized Official Last Name:
TOHME
Authorized Official First Name:
ZIAD
Authorized Official Middle Name:
N
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
800-321-1036

Provider Taxonomy Codes

  • Taxonomy code: 1223P0300X , with the licence number:  021186 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com