DR. THADDEUS JUDE JOHN MANDATO D.D.S.
NPI 1508961533
Dentist - General Practice in Fairview Park, OH

Active since September 14, 2006
21245 LORAIN RD, SUITE 100, FAIRVIEW PARK, OH 44126(440) 331-0164(440) 331-0165 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Thaddeus Jude John Mandato D.d.s. NPPES

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

DR. THADDEUS JUDE JOHN MANDATO D.D.S. (NPI 1508961533) is an individual general practice provider in Fairview Park, Ohio, licensed in Ohio (30-01-5181) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1508961533
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. THADDEUS JUDE JOHN MANDATOCredential: D.D.S.
Location Address21245 LORAIN RD, SUITE 100Fairview Park, OH 44126-2146
Mailing Address21245 Lorain Rd, Suite 100Fairview Park, OH 44126-2146 · (440) 331-0164 · Fax (440) 331-0165
Fax(440) 331-0165
Sole ProprietorNo
Enumeration DateSeptember 14, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1508961533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in OH · 30-01-5181
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
21245 LORAIN RD, Fairview Park, OH 44126

Accepted Insurance

Other Providers at the Same Location NPPES 7

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

Ophthalmology
21245 LORAIN RD, LL100
FAIRVIEW PARK, OH 44126
Nurse Practitioner (Family)
21245 LORAIN RD
FAIRVIEW PARK, OH 44126
Podiatrist (Primary Podiatric Medicine)
21245 LORAIN RD, SUITE 115
FAIRVIEW PARK, OH 44126
Podiatrist (Primary Podiatric Medicine)
21245 LORAIN RD, SUITE 115
FAIRVIEW PARK, OH 44126
Podiatrist
21245 LORAIN RD, SUITE 115
FAIRVIEW PARK, OH 44126
Dentist (General Practice)
21245 LORAIN RD, SUITE 100
FAIRVIEW PARK, OH 44126
Ophthalmology
21245 LORAIN RD, LL100
FAIRVIEW PARK, OH 44126

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 Thaddeus Jude Mandato's NPI number?

The NPI number for Thaddeus Jude Mandato is 1508961533. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Thaddeus Jude Mandato located?

Thaddeus Jude Mandato practices at 21245 Lorain Rd Suite 100, Fairview Park, OH 44126. The listed phone number is (440) 331-0164.

What is Thaddeus Jude Mandato's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Thaddeus Jude Mandato accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Dominion National and 7 other insurers list Thaddeus Jude Mandato as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thaddeus Jude Mandato was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.