MEDICARE: DR. FIXLER'S DENTAL SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013986595
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. FIXLER'S DENTAL SERVICES, LLC

Provider Business Mailing Address
First Line	:	14100 CEDAR RD
Second Line	:	STE 200
City	:	CLEVELAND
State	:	OH
Zip	:	44121-3212
Country	:	US
Telephone Number	:	216-214-4933
Fax Number	:	216-383-3625

Provider Business Practice Location Address
First Line	:	14100 CEDAR RD
Second Line	:	STE 200
City	:	CLEVELAND
State	:	OH
Zip	:	44121-3212
Country	:	US
Telephone Number	:	216-214-4933
Fax Number	:	216-383-3625

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. DINA FIXLER
Credential	:	DMD
Telephone Number	:	216-214-4933

Provider Enumeration Date	:	03/16/2006
Last Update Date	:	07/14/2014

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