Provider Demographics
NPI:1588354799
Name:FINKELSTEIN, MARK VADIM (DDS)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:VADIM
Last Name:FINKELSTEIN
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 1:1550 KENNY RD APT 302
Mailing Address - Street 2:
Mailing Address - City:GRANDVIEW HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:43212-2590
Mailing Address - Country:US
Mailing Address - Phone:440-829-3027
Mailing Address - Fax:
Practice Address - Street 1:1669 LOCKBOURNE RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43207-1476
Practice Address - Country:US
Practice Address - Phone:614-444-9840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-10
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.027139122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist