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Dr. Thaddeus Jude John Mandato, DDS
General Practice Dentistry in Fairview Park, Ohio
NPI 1508961533

Thaddeus Jude John Mandato is a General Practice Dentistry based in Fairview Park, OH and is specialized in General Practice. Thaddeus Jude John Mandato practices in Fairview Park, OH and has the professional credentials of DDS. The NPI Number for Thaddeus Jude John Mandato is 1508961533 and holds a License No. 30-01-5181 (Ohio).

The current practice location address for Thaddeus Jude John Mandato is 21245 Lorain Rd, Fairview Park, OH and can be reached out via phone at 440-331-0164 and via fax at 440-331-0165.

Location: 21245 Lorain Rd, Fairview Park, OH, 44126-2146
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508961533
Provider Name
Thaddeus Jude John Mandato
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
21245 Lorain Rd, Fairview Park, OH, 44126-2146
Phone Number
440-331-0164
Fax Number
440-331-0165
Provider Enumeration Date
09/14/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
21245 Lorain Rd
City
Fairview Park
State
Ohio
Zip
44126-2146
Phone Number
440-331-0164
Fax Number
440-331-0165
person
Provider Business Mailing Address Details
Address
21245 Lorain Rd
City
Fairview Park
State
Ohio
Zip
44126-2146
Phone Number
440-331-0164
Fax Number
440-331-0165
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
30-01-5181 (Ohio)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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