Healthcare Provider Details

I. General information

NPI: 1275636714
Provider Name (Legal Business Name): ROBERT A ZENOBI, DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2006
Last Update Date: 04/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6688 RIDGE RD SUITE 1130
PARMA OH
44129-5706
US

IV. Provider business mailing address

6688 RIDGE RD SUITE 1130
PARMA OH
44129-5706
US

V. Phone/Fax

Practice location:
  • Phone: 440-845-3153
  • Fax: 440-845-1040
Mailing address:
  • Phone: 440-845-3153
  • Fax: 440-845-1040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT A ZENOBI
Title or Position: ORTHODONIST
Credential: DDS
Phone: 440-845-3153