Healthcare Provider Details

I. General information

NPI: 1831009976
Provider Name (Legal Business Name): TIMOTHY D VALA DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

853 WESTPOINT PKWY STE 740
WESTLAKE OH
44145-1532
US

IV. Provider business mailing address

853 WESTPOINT PKWY STE 740
WESTLAKE OH
44145-1532
US

V. Phone/Fax

Practice location:
  • Phone: 440-871-9944
  • Fax: 440-871-9384
Mailing address:
  • Phone: 440-871-9944
  • Fax: 440-871-9384

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: MRS. JILL R SCHUBERT
Title or Position: OFFICE MANAGER
Credential:
Phone: 440-871-9944