| Charles P Fenell Dds Ms Inc | |
|
4568 Mayfield Rd Suite #203 South Euclid OH 44121-4064 | |
| (216) 291-9473 | |
| (216) 691-4110 |
| Full Name | Charles P Fenell Dds Ms Inc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4568 Mayfield Rd, South Euclid, Ohio |
| Authorized Official Name and Position | Charles P Fenell (OWNER) |
| Authorized Official Contact | 2162919473 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles P Fenell Dds Ms Inc 4568 Mayfield Rd Suite #203 South Euclid OH 44121-4064 Ph: (216) 291-9473 | Charles P Fenell Dds Ms Inc 4568 Mayfield Rd Suite #203 South Euclid OH 44121-4064 Ph: (216) 291-9473 |
| NPI Number | 1205974078 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205974078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 14662 (Ohio) | Primary |
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