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MARDIS FAMILY DENTAL, LLC
NPI 1871011577
Dentist in Fairlawn, OH

Active since September 01, 2017
55 S MILLER RD STE 104, FAIRLAWN, OH 44333(330) 836-7991(330) 836-8064 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Sep 1, 2017 (2 updates tracked since 2017).

About Mardis Family Dental, Llc NPPES

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

MARDIS FAMILY DENTAL, LLC (NPI 1871011577) is a healthcare organization registered as a dentist in Fairlawn, Ohio and active in the NPI registry since September 2017. The organization lists Lisa Marie Mardis, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1871011577
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameMARDIS FAMILY DENTAL, LLC
Location Address55 S MILLER RD STE 104Fairlawn, OH 44333-4167
Mailing Address55 S Miller Rd Ste 104Fairlawn, OH 44333-4167 · (330) 836-7991 · Fax (330) 836-8064
Phone(330) 836-7991
Fax(330) 836-8064
Organization SubpartNo
Authorized OfficialLisa Marie MardisOffice Manager · (330) 836-7991
Enumeration DateSeptember 1, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1871011577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OH · 30.023452
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
55 S MILLER RD STE 104, Fairlawn, OH 44333
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Other Identifiers 1

Other1235424227Npi

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

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 Mardis Family Dental, LLC's NPI number?

The NPI number for Mardis Family Dental, LLC is 1871011577. It was assigned to this organization in the NPPES registry on September 1, 2017.

Where is Mardis Family Dental, LLC located?

Mardis Family Dental, LLC is located at 55 S Miller Rd Ste 104, Fairlawn, OH 44333. The listed phone number is (330) 836-7991.

What is Mardis Family Dental, LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Mardis Family Dental, LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.