Provider Demographics
NPI:1316158181
Name:MECHEV, CVETAN IVANOV
Entity type:Individual
Prefix:DR
First Name:CVETAN
Middle Name:IVANOV
Last Name:MECHEV
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8440 N OLEANDER AVE
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:IL
Mailing Address - Zip Code:60714-2054
Mailing Address - Country:US
Mailing Address - Phone:773-203-4652
Mailing Address - Fax:847-577-0150
Practice Address - Street 1:1430 N ARLINGTON HEIGHTS RD STE 204
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-4825
Practice Address - Country:US
Practice Address - Phone:847-259-2461
Practice Address - Fax:847-577-0150
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA622811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice