Provider Demographics
NPI:1538378666
Name:NAGY, ENDRE V (DDS, MD)
Entity type:Individual
Prefix:DR
First Name:ENDRE
Middle Name:V
Last Name:NAGY
Suffix:
Gender:M
Credentials:DDS, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1413 GOLDEN GATE BLVD
Mailing Address - Street 2:#220
Mailing Address - City:MAYFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124-3420
Mailing Address - Country:US
Mailing Address - Phone:440-753-6021
Mailing Address - Fax:
Practice Address - Street 1:1413 GOLDEN GATE BLVD
Practice Address - Street 2:#220
Practice Address - City:MAYFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44124-3420
Practice Address - Country:US
Practice Address - Phone:440-753-6021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-019728122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist