Elizabeth Visger, DDS
Dentist in Mentor, OH. Individual provider (NPI-1).
NPI number1689293243
StatusActive
Last updated in NPPESAug 25, 2022
Details
- NPI
- 1689293243
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Visger
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 14, 2020
- Certification date
- Aug 25, 2022
- Last updated
- Aug 25, 2022
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 |
|---|---|---|---|---|
| 122300000X | Dentist | 30.026251 | OH | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
7553 Center StreetMentor, OH 44060
Phone 440-255-2600 · Fax 440-255-0162
Mailing address
7553 Center StreetMentor, OH 44060
Is something wrong?
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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