CLEVELAND CLINIC MERCY HOSPITAL NPI 1023362100

NPI Information

CLEVELAND CLINIC MERCY HOSPITAL is a dental clinic center in Canton, OH. CLEVELAND CLINIC MERCY HOSPITAL NPI is 1023362100. The provider is registered as an organization entity type.
The provider Other Name Is St. Paul Dental Service.

The provider's business location address is:

1459 SUPERIOR AVE NE
CANTON, OH
ZIP 44705-964
Phone: (330) 588-4893
Fax: (330) 453-2793

The provider's authorized official is Michael C Holt .
The authorized official title is Director Of Finance and has the following contact phone number (330) 489-1268.

The CLIA number assigned to this NPI record is 36D2069301 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/29/2012 and was last updated on 4/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.