Charles Edward Mardis, D.D.S

General Practice Dentistry · Fairlawn, OH

Individual Active NPI

NPI number 1235424227

Practice location

55 S Miller Rd
Suite 104
Fairlawn, OH 44333-4166
Phone
(330) 836-7991

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NPI record

NPI
1235424227
Entity type
Individual (Type 1)
Enumeration date
June 17, 2011
Last updated
June 17, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 30.023452 OH

About Dr. Mardis

Charles Edward Mardis, D.D.S is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 55 S Miller Rd, Suite 104, Fairlawn, OH 44333-4166. The NPI number 1235424227 was assigned on June 17, 2011 and the record was last updated on June 17, 2011.

Dr. Mardis lists a license in the registry: #30.023452 (OH) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Charles Edward Mardis, D.D.S?

The NPI number is 1235424227.

What is the phone number of Dr. Mardis?

The phone number listed for the practice location is (330) 836-7991.

Where is Dr. Mardis located?

55 S Miller Rd, Suite 104, Fairlawn, OH 44333-4166.

What is the taxonomy code for Dr. Mardis?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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