Martin H Telich, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18293 Issued in OH

Practice address

5433 Liberty Ave
Vermilion, OH 44089-1333

Phone

(440) 967-5277

NPI assigned

May 1, 2007

Last updated

Aug 13, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Telich and Ladopoulos, D.D.S., Inc.

  • General Practice Dentistry
  • Vermilion, OH
  • NPI 1538380159
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186963200000",
    "number": "1093936767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5433 LIBERTY AVE",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "440891333",
            "telephone_number": "440-967-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5433 LIBERTY AVE",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "440891333",
            "telephone_number": "440-967-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELICH",
        "first_name": "MARTIN",
        "middle_name": "H",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "18293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ihor N. Suszko, D.D.S.
• Jodie P Szivan
• Joseph Ryan Szivan
• Brandon Talbert
• Telich and Ladopoulos, D.D.S., Inc.
• Khin Zan Tha, MD
• Elizabeth Marie Thaxton, NP
• Therapy Unscripted LLC
• Sonja Thompson
• Tameka Thornton

• General Practice Dentistry in Vermilion, OH
• Providers in Vermilion, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.