Seifeddine Mohamad Tajour, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

20839 Issued in OH

Practice address

48 N Linwood Ave
Norwalk, OH 44857-1519

Phone

(419) 668-4117

Fax

(419) 660-8387

NPI assigned

Apr 9, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023131398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27075 SANCTUARY LN",
            "city": "OLMSTED FALLS",
            "state": "OH",
            "postal_code": "441383727",
            "telephone_number": "440-427-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 N LINWOOD AVE",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448571519",
            "telephone_number": "419-668-4117",
            "fax_number": "419-660-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAJOUR",
        "first_name": "SEIFEDDINE",
        "middle_name": "MOHAMAD",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "20839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2142381",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Norwalk, OH
• Providers in Norwalk, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.