Healthcare Provider Details

I. General information

NPI: 1679892467
Provider Name (Legal Business Name): DRS. JOHAL, DUNNING & ASSOCIATES VIII, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2010
Last Update Date: 05/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

705 EAST DIXON BLVD, SUITE # 8
SHELBY NC
28215
US

IV. Provider business mailing address

5875 LANDERBROOK DR. SUITE 250
MAYFIELD HTS OH
44124
US

V. Phone/Fax

Practice location:
  • Phone: 800-487-4867
  • Fax: 440-995-1012
Mailing address:
  • Phone: 800-487-4867
  • Fax: 440-995-1012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: EDWARD MECKLER
Title or Position: CHAIRMAN
Credential:
Phone: 800-487-4867