Healthcare Provider Details

I. General information

NPI: 1477075489
Provider Name (Legal Business Name): ADARSH M MEHTA DMD, MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2017
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 W STRUB RD STE A
SANDUSKY OH
44870-5390
US

IV. Provider business mailing address

2500 W STRUB RD STE A
SANDUSKY OH
44870-5390
US

V. Phone/Fax

Practice location:
  • Phone: 419-627-8131
  • Fax:
Mailing address:
  • Phone: 419-627-8131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN22890
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number30.025761
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: