MEDICARE: MECKLER DENTAL PROVIDERS (MACEDONIA), INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	1223P0700X	Prosthodontics
2	1223P0221X	Pediatric Dentistry
3	1223P0300X	Periodontics
4	122300000X	Dentist
5	1223E0200X	Endodontics
6	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry
7	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1073769204
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MECKLER DENTAL PROVIDERS (MACEDONIA), INC.

Provider Business Mailing Address
First Line	:	7160 NORTH DALLAS PARKWAY ST 400
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-7145
Country	:	US
Telephone Number	:	330-467-3500
Fax Number	:	216-584-1081

Provider Business Practice Location Address
First Line	:	8210 MACEDONIA COMMONS
Second Line	:	UNIT #6
City	:	MACEDONIA
State	:	OH
Zip	:	44056-1860
Country	:	US
Telephone Number	:	330-467-3500
Fax Number	:	216-584-1081

Authorized Official
Title or Position	:	MANAGER, CREDENTIALING
Name	:	RACHEL NITTINGER
Credential	:
Telephone Number	:	972-755-0816

Provider Enumeration Date	:	08/07/2008
Last Update Date	:	12/19/2017

Similar Medicare Providers

1467423251 — DR. MICHAEL ALAN WILLEN D.D.S.
Practice Location Address:

8210 MACEDONIA COMMONS BLVD , SUITE #60
MACEDONIA, OH
44056-1860

Practice Phone: 300-468-1420
Practice Fax: 330-467-6878

1770634818 — PARIS OPTICIANS
Practice Location Address:

8210 MACEDONIA COMMONS BLVD , SUITE 52
MACEDONIA, OH
44056-1860

Practice Phone: 330-468-3313
Practice Fax:

1932356425 — DR. JASON MAJOR DDS
Practice Location Address:

8210 MACEDONIA COMMONS BLVD , #6
MACEDONIA, OH
44056-1860

Practice Phone: 330-467-3500
Practice Fax:

1891016069 — DR. TANNISHIA MARIE GOGGANS D.M.D
Practice Location Address:

8210 MACEDONIA COMMONS BLVD
MACEDONIA, OH
44056-1860

Practice Phone: 330-467-3500
Practice Fax:

1245720937 — DR. MONICA LYNN CALES DO
Practice Location Address:

8210 MACEDONIA COMMONS BLVD
MACEDONIA, OH
44056-1860

Practice Phone: 330-468-0190
Practice Fax:

1407610587 — HARMONI HEALTH AND WELLNESS LLC
Practice Location Address:

8210 MACEDONIA COMMONS BLVD STE 3B-1022
MACEDONIA, OH
44056-1860

Practice Phone: 740-233-2256
Practice Fax:

Directions to “MECKLER DENTAL PROVIDERS (MACEDONIA), INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.