| Mark A Iacobelli D D S Inc | |
|
8030 Corporate Circle North Royalton OH 44133-1245 | |
| (440) 845-7300 | |
| (440) 845-7785 |
| Full Name | Mark A Iacobelli D D S Inc |
|---|---|
| Speciality | Dentist |
| Location | 8030 Corporate Circle, North Royalton, Ohio |
| Authorized Official Name and Position | Mark Anthony Iacobelli (PRESIDENT) |
| Authorized Official Contact | 4408457300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark A Iacobelli D D S Inc 8030 Corporate Circle North Royalton OH 44133-1245 Ph: (440) 845-7300 | Mark A Iacobelli D D S Inc 8030 Corporate Circle North Royalton OH 44133-1245 Ph: (440) 845-7300 |
| NPI Number | 1548369564 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 06/07/2023 |
| Medicare PECOS PAC ID | 5496152696 |
|---|---|
| Medicare Enrollment ID | O20210929003552 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548369564 | NPI | - | NPPES |
| Provider Name | Stephen L Sala |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1053606855 PECOS PAC ID: 7113225863 Enrollment ID: I20201102001343 |
| Provider Name | Mark Iacobelli |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1982875761 PECOS PAC ID: 6608843412 Enrollment ID: I20230705003074 |
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