Provider Demographics
NPI:1861382335
Name:NAVARRE DENTISTRY AND ORTHODONTICS LLC
Entity type:Organization
Organization Name:NAVARRE DENTISTRY AND ORTHODONTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAREK
Authorized Official - Middle Name:
Authorized Official - Last Name:ELSHEBINY
Authorized Official - Suffix:
Authorized Official - Credentials:BDS MSD
Authorized Official - Phone:330-879-5771
Mailing Address - Street 1:117 MAIN ST N
Mailing Address - Street 2:
Mailing Address - City:NAVARRE
Mailing Address - State:OH
Mailing Address - Zip Code:44662-1135
Mailing Address - Country:US
Mailing Address - Phone:330-879-5771
Mailing Address - Fax:330-879-2976
Practice Address - Street 1:117 MAIN ST N
Practice Address - Street 2:
Practice Address - City:NAVARRE
Practice Address - State:OH
Practice Address - Zip Code:44662-1135
Practice Address - Country:US
Practice Address - Phone:330-879-5771
Practice Address - Fax:330-879-2976
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty