Healthcare Provider Details

I. General information

NPI: 1104695857
Provider Name (Legal Business Name): EMEL DENIZ SABIRLI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/21/2023
Last Update Date: 02/24/2025
Certification Date: 02/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4071 LEE RD STE 260
CLEVELAND OH
44128-2173
US

IV. Provider business mailing address

425 DAYTON TOWERS DR APT 2K
DAYTON OH
45410-1138
US

V. Phone/Fax

Practice location:
  • Phone: 440-290-5575
  • Fax:
Mailing address:
  • Phone: 443-397-1556
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number0401419279
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberRES.004703
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: