Provider Demographics
NPI:1942045083
Name:A NEW MILLENNIUM DENTISTRY
Entity type:Organization
Organization Name:A NEW MILLENNIUM DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VLADIMIR
Authorized Official - Middle Name:R
Authorized Official - Last Name:BELIKOV
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:440-995-9999
Mailing Address - Street 1:6151 WILSON MILLS RD STE 250
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44143-2134
Mailing Address - Country:US
Mailing Address - Phone:440-995-9999
Mailing Address - Fax:
Practice Address - Street 1:6151 WILSON MILLS RD STE 250
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44143-2134
Practice Address - Country:US
Practice Address - Phone:440-995-9999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-29
Last Update Date:2024-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental