- Practice location
- 770 Balgreen Dr, Ste 201, Mansfield, OH 44906-4106
- Phone
- 419-756-1600
- Fax
- 419-775-1196
- Last updated
- August 24, 2026
Advanced Dermatology Of North Central Ohio INC is a healthcare organization based in Mansfield, OH. Advanced Dermatology Of North Central Ohio INC practices in Mansfield, OH. The NPI Number for Advanced Dermatology Of North Central Ohio INC is 1073528733 and holds a License No. 35063717T (OH). The current practice location address for Advanced Dermatology Of North Central Ohio INC is 770 Balgreen Dr, Ste 201, Mansfield, OH 44906-4106 and can be reached out via phone at 419-756-1600 and via fax at 419-775-1196.
Provider Profile Details
- NPI Number
- 1073528733
- Provider Name
- Advanced Dermatology Of North Central Ohio INC
- Provider Entity Type
- Organization
- Address
- 770 Balgreen Dr, Ste 201, Mansfield, OH 44906-4106
- Phone Number
- 419-756-1600
- Fax Number
- 419-775-1196
- Primary Taxonomy
- Dermatology, Procedural Dermatology · 207NS0135X
- Organization Subpart
- No
- Authorized Official
- Dr. Christ John Ticoras, MD · Owner/President · 419-756-1600
- Provider Enumeration Date
- July 30, 2006
- Last Update Date
- August 24, 2026
- Certification Date
- August 24, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 770 Balgreen Dr
Ste 201
Mansfield, OH 44906-4106 - City
- Mansfield
- State
- Ohio
- Zip
- 44906-4106
- Phone Number
- 419-756-1600
- Fax Number
- 419-775-1196
Provider Business Mailing Address Details
- Address
- Po Box 735056
Dallas, TX 75373-5056 - City
- Dallas
- State
- TX
- Zip
- 75373-5056
- Phone Number
- 419-756-1600
- Fax Number
- 419-775-1196
License Information
- Taxonomy (1)
- Dermatology · 207N00000X
- Taxonomy (2)
- Dermatology, Procedural Dermatology · 207NS0135X
- License Number (3)
- 35063717T
- License State (3)
- OH
- Taxonomy (3)
- Dermatology, Procedural Dermatology · 207NS0135X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dermatology, Procedural Dermatology providers near Mansfield, OH
View all Dermatology, Procedural Dermatology providers in Mansfield →Frequently Asked Questions
What is the NPI number of Advanced Dermatology Of North Central Ohio INC?
The NPI number of Advanced Dermatology Of North Central Ohio INC is 1073528733. It was assigned on July 30, 2006 and is currently active in the NPPES registry.
What is the specialty of Advanced Dermatology Of North Central Ohio INC?
Advanced Dermatology Of North Central Ohio INC is registered under the primary taxonomy Dermatology, Procedural Dermatology (code 207NS0135X), licensed in OH under license number 35063717T.
Where does Advanced Dermatology Of North Central Ohio INC practice?
The practice location is 770 Balgreen Dr, Ste 201, Mansfield, OH 44906-4106. The office can be reached at 419-756-1600 (phone) or 419-775-1196 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073528733 directly on the NPPES registry website.