HEARTLAND PERIODONTAL & DENTAL IMPLANT CENTER, LLC
NPI 1508710401
Dentist - Periodontics in Fairfield, OH

Active since February 26, 2026
5850 BOYMEL DR STE 2, FAIRFIELD, OH 45014(513) 856-8252(513) 805-7086 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Heartland Periodontal & Dental Implant Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEARTLAND PERIODONTAL & DENTAL IMPLANT CENTER, LLC (NPI 1508710401) is a healthcare organization registered as a periodontics in Fairfield, Ohio and active in the NPI registry since February 2026. The organization lists Mostafa Tabaa, Periodontist/dentist, as its authorized official.

NPPES Registry Identity

NPI1508710401
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameHEARTLAND PERIODONTAL & DENTAL IMPLANT CENTER, LLC
Location Address5850 BOYMEL DR STE 2Fairfield, OH 45014-5500
Mailing Address5850 Boymel Dr Ste 2Fairfield, OH 45014-5500 · (513) 856-8252 · Fax (513) 805-7086
Fax(513) 805-7086
Organization SubpartNo
Authorized OfficialMostafa TabaaPeriodontist/dentist · (513) 856-8252
Enumeration DateFebruary 26, 2026
NPPES CertifiedFebruary 25, 2026
NPI 1508710401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
5850 BOYMEL DR STE 2, Fairfield, OH 45014

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Periodontics)
5850 BOYMEL DR STE 2
FAIRFIELD, OH 45014

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heartland Periodontal & Dental Implant Center, LLC's NPI number?

The NPI number for Heartland Periodontal & Dental Implant Center, LLC is 1508710401. It was assigned to this organization in the NPPES registry on February 26, 2026.

Where is Heartland Periodontal & Dental Implant Center, LLC located?

Heartland Periodontal & Dental Implant Center, LLC is located at 5850 Boymel Dr Ste 2, Fairfield, OH 45014. The listed phone number is (513) 856-8252.

What is Heartland Periodontal & Dental Implant Center, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Heartland Periodontal & Dental Implant Center, LLC was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.