Provider Demographics
NPI:1306951892
Name:CALABRESE, MARIE APOLONIA (DMD)
Entity type:Individual
Prefix:DR
First Name:MARIE
Middle Name:APOLONIA
Last Name:CALABRESE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5825 LANDERBROOK DR
Mailing Address - Street 2:SUITE 123
Mailing Address - City:MAYFIELD HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124-6532
Mailing Address - Country:US
Mailing Address - Phone:440-646-0477
Mailing Address - Fax:440-646-1227
Practice Address - Street 1:5825 LANDERBROOK DR
Practice Address - Street 2:SUITE 123
Practice Address - City:MAYFIELD HTS
Practice Address - State:OH
Practice Address - Zip Code:44124-6532
Practice Address - Country:US
Practice Address - Phone:440-646-0477
Practice Address - Fax:440-646-1227
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300207761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice