Provider Demographics
NPI:1528260254
Name:TAUB, YOAV YEHUDA (DDS)
Entity type:Individual
Prefix:
First Name:YOAV
Middle Name:YEHUDA
Last Name:TAUB
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 1:3401 RICHMOND RD
Mailing Address - Street 2:SUITE 230
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-4160
Mailing Address - Country:US
Mailing Address - Phone:216-292-9920
Mailing Address - Fax:216-292-9921
Practice Address - Street 1:3401 RICHMOND RD
Practice Address - Street 2:SUITE 230
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-4160
Practice Address - Country:US
Practice Address - Phone:216-292-9920
Practice Address - Fax:216-292-9921
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2010-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH215761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice