Dania Alfathi, DMD

Individual provider Active NPI Dentist · Mayfield, OH

NPI 1700445558 · NPPES record last updated Oct 11, 2023

Key facts

NPI
1700445558
Entity type
Individual (NPI type 1)
Primary specialty
Dentist 122300000X
License
30.026250 (OH)
Practice address
845 Som Center Rd
Mayfield, OH 44143-3581
Phone
(216) 777-8844
NPI assigned
Jun 6, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
30.026250OHMDDentist
DS042355PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Dental, LLC Past Accepting new patients
Jeffrey J Orchen DDS Inc Past
since Sep 1, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS042355 PA
Dentist 122300000X 30.026250 OH Yes

Addresses

Primary practice location

845 Som Center Rd
Mayfield, OH 44143-3581

Mailing address

32087 Hamilton CT Apt 108
Solon, OH 44139-5728
Phone (571) 239-3564

Other providers in Mayfield, OH

All providers in Mayfield, OH · Dentist in Ohio

Sources for this page

Verify at the official NPI Registry.