Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Advanced Dermatology of North Central Ohio Inc

Organization Dermatology Physician · NPI 1073528733

Advanced Dermatology of North Central Ohio Inc provides Dermatology Physician services in Mansfield, Ohio. Licensed in Ohio. Registered with an NPI since 2006.

Licensed in
OH
In the registry since
2006
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

770 Balgreen Dr Ste 201
Mansfield, OH 44906-4106 Not confirmed with CMS for 14 years — call before visiting
Phone: (419) 756-1600
Fax: (419) 775-1196
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Procedural Dermatology Physician (primary) Taxonomy 207NS0135X · Licence 35063717T (OH)
Dermatology Physician Taxonomy 207N00000X
Procedural Dermatology Physician Taxonomy 207NS0135X

Record details

NPI number1073528733
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christ Ticoras — Owner/President · (419) 756-1600
Other names Advanced Dermatology Of North Central Ohio Inc
NPI enumeratedJuly 30, 2006
Last updated in NPPESAugust 21, 2012
Mailing address770 Balgreen Dr., Ste. 201, Mansfield, OH 44906-4106

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