Provider Demographics
NPI:1699034421
Name:UNIVERSITY HEIGHTS DENTAL - DINA FIXLER DMD, LLC
Entity Type:Organization
Organization Name:UNIVERSITY HEIGHTS DENTAL - DINA FIXLER DMD, LLC
Other - Org Name:UNIVERSITY HEIGHTS DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:DINA
Authorized Official - Middle Name:
Authorized Official - Last Name:FIXLER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:216-382-6600
Mailing Address - Street 1:14100 CEDAR RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44121-3212
Mailing Address - Country:US
Mailing Address - Phone:216-382-6600
Mailing Address - Fax:216-382-5066
Practice Address - Street 1:14100 CEDAR RD
Practice Address - Street 2:SUITE 200
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44121-3212
Practice Address - Country:US
Practice Address - Phone:216-382-6600
Practice Address - Fax:216-382-5066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-14
Last Update Date:2012-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty