| Heartland Periodontal & Dental Implant Center, Llc | |
|
5850 Boymel Dr Ste 2 Fairfield OH 45014-5500 | |
| (513) 856-8252 | |
| (513) 805-7086 |
| Full Name | Heartland Periodontal & Dental Implant Center, Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 5850 Boymel Dr Ste 2, Fairfield, Ohio |
| Authorized Official Name and Position | Mostafa Tabaa (PERIODONTIST/DENTIST) |
| Authorized Official Contact | 5138568252 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartland Periodontal & Dental Implant Center, Llc 5850 Boymel Dr Ste 2 Fairfield OH 45014-5500 Ph: (513) 856-8252 | Heartland Periodontal & Dental Implant Center, Llc 5850 Boymel Dr Ste 2 Fairfield OH 45014-5500 Ph: (513) 856-8252 |
| NPI Number | 1508710401 |
|---|---|
| Provider Enumeration Date | 02/26/2026 |
| Last Update Date | 02/26/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508710401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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