Provider Demographics
NPI:1992719256
Name:YOAV Y. TAUB D.D.S., INC.
Entity type:Organization
Organization Name:YOAV Y. TAUB D.D.S., INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:YOAV
Authorized Official - Middle Name:YEHUDA
Authorized Official - Last Name:TAUB
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:216-292-9920
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-29
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30021576122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty