Provider Demographics
NPI:1962413161
Name:NEMETH, WILLIAM ROBERT (DDS)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ROBERT
Last Name:NEMETH
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 1:5825 LANDERBROOK DR
Mailing Address - Street 2:SUITE 223
Mailing Address - City:MAYFIELD HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124-6532
Mailing Address - Country:US
Mailing Address - Phone:440-473-3836
Mailing Address - Fax:440-473-0714
Practice Address - Street 1:5825 LANDERBROOK DR
Practice Address - Street 2:SUITE 223
Practice Address - City:MAYFIELD HTS
Practice Address - State:OH
Practice Address - Zip Code:44124-6532
Practice Address - Country:US
Practice Address - Phone:440-473-3836
Practice Address - Fax:440-473-0714
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2009-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30016972122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist