Dr. Albert P Dechellis, D.D.S.
Dentist, General Practice in Boardman, OH. Individual provider (NPI-1).
NPI number1487770855
StatusActive
Last updated in NPPESOct 30, 2015
Details
- NPI
- 1487770855
- Entity type
- Individual (NPI-1)
- Name
- Dr. Albert P Dechellis
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 21, 2007
- Last updated
- Oct 30, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 16551 | OH | Yes |
Practice location
60 Marwood CircleBoardman, OH 44512
Phone 330-758-4800 · Fax 330-726-4948
Mailing address
60 Marwood CircleBoardman, OH 44512
Fax 330-726-4949
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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