Individual provider · Type 1 NPI

Thaddeus Jude John Mandato, DDS

General Practice Dentistry · Fairview Park, OH

NPI number 1508961533 Active

Practice location

21245 Lorain Rd, Suite 100
Fairview Park, OH 44126-2146

Fax (440) 331-0165

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X30-01-5181 (OH)

General Practice Dentistry: 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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About NPI 1508961533

Thaddeus Jude John Mandato, DDS's National Provider Identifier is 1508961533, issued on Sep 14, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fairview Park, OH. The record was last updated on Jul 8, 2007.