Provider Demographics
NPI:1437241437
Name:BELIKOV, VLADIMIR R (DDS)
Entity Type:Individual
Prefix:DR
First Name:VLADIMIR
Middle Name:R
Last Name:BELIKOV
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6151 WILSON MILLS RD STE 250
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44143-2134
Mailing Address - Country:US
Mailing Address - Phone:440-995-9999
Mailing Address - Fax:440-995-9998
Practice Address - Street 1:6151 WILSON MILLS RD STE 250
Practice Address - Street 2:
Practice Address - City:HIGHLAND HTS
Practice Address - State:OH
Practice Address - Zip Code:44143-2134
Practice Address - Country:US
Practice Address - Phone:440-995-9999
Practice Address - Fax:440-995-9998
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30021024122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH220-3805Medicaid