Healthcare Provider Details

I. General information

NPI: 1467609008
Provider Name (Legal Business Name): ROBERT ZENOBI D.D.S. INC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2008
Last Update Date: 12/07/2025
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 Number11121
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: