Provider Demographics
NPI:1245806801
Name:TODD P MIKER DDS
Entity Type:Organization
Organization Name:TODD P MIKER DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:MIKER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:440-887-1121
Mailing Address - Street 1:7057 W 130TH ST STE 302
Mailing Address - Street 2:
Mailing Address - City:PARMA HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130-7893
Mailing Address - Country:US
Mailing Address - Phone:440-887-1121
Mailing Address - Fax:440-887-9698
Practice Address - Street 1:7057 W 130TH ST STE 302
Practice Address - Street 2:
Practice Address - City:PARMA HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130-7893
Practice Address - Country:US
Practice Address - Phone:440-887-1211
Practice Address - Fax:440-887-9698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-03
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies