Healthcare Provider Details
I. General information
NPI: 1326614884
Provider Name (Legal Business Name): ELVA ASHLEY RAPANOTTI DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/03/2021
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1480 CENTER RD STE D
AVON OH
44011-1239
US
IV. Provider business mailing address
200 HAWKINS DR
IOWA CITY IA
52242-1009
US
V. Phone/Fax
- Phone: 440-937-2273
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| License Number | 30.028354 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: