CLARA SOUS NPI 1063147528

NPI Information

NPI: 1063147528
Provider Name: CLARA SOUS
Classification: Dentist - 1223P0300X
Entity Type: Individual

Specialization: Periodontics

Address:
9601 CHESTER AVE
CLEVELAND, OH
ZIP 44106
Phone: (216) 368-2000
Get Directions

Clara Sous is a periodontics dentist in Cleveland, OH. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. Clara Sous NPI is 1063147528. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9601 CHESTER AVE
CLEVELAND, OH
ZIP 44106-666
Phone: (216) 368-2000

The enumeration date for this NPI number is 7/19/2022 and was last updated on 7/19/2022.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0300X	Dentist	Periodontics	004533	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	004533	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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