Provider Demographics
NPI:1215068184
Name:CANTOR, NEIL LYNN (DDS)
Entity type:Individual
Prefix:DR
First Name:NEIL
Middle Name:LYNN
Last Name:CANTOR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5432 MAYFIELD RD
Mailing Address - Street 2:202
Mailing Address - City:LYNDHURST
Mailing Address - State:OH
Mailing Address - Zip Code:44124-2930
Mailing Address - Country:US
Mailing Address - Phone:440-442-3800
Mailing Address - Fax:440-442-9104
Practice Address - Street 1:5432 MAYFIELD RD
Practice Address - Street 2:202
Practice Address - City:LYNDHURST
Practice Address - State:OH
Practice Address - Zip Code:44124-2930
Practice Address - Country:US
Practice Address - Phone:440-442-3800
Practice Address - Fax:440-442-9104
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH130471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice