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MECKLER DENTAL PROVIDERS (OLMSTED) INC NPI 1093787624


NPI Information

NPI: 1093787624
Provider Name: MECKLER DENTAL PROVIDERS (OLMSTED), INC

Doing Business As: DENTALWORKS

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4710 GREAT NORTHERN BLVD
NORTH OLMSTED, OH
ZIP 44070
Phone: (440) 716-6939
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MECKLER DENTAL PROVIDERS (OLMSTED), INC is a general practice dentist in North Olmsted, OH. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MECKLER DENTAL PROVIDERS (OLMSTED), INC NPI is 1093787624. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Dentalworks.

The provider's business location address is:

4710 GREAT NORTHERN BLVD
NORTH OLMSTED, OH
ZIP 44070-427
Phone: (440) 716-6939
Fax: (216) 584-1004

The provider's authorized official is Kathleen Stautihar .
The authorized official title is Supervisor, Credentialing and has the following contact phone number (216) 584-1673.

The enumeration date for this NPI number is 2/7/2006 and was last updated on 10/19/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentistNo
21223E0200XDentistEndodonticsNo
31223G0001XDentistGeneral PracticeNo
41223P0221XDentistPediatric DentistryNo
51223P0300XDentistPeriodonticsNo
61223P0700XDentistProsthodonticsNo
71223S0112XDentistOral and Maxillofacial SurgeryNo
81223X0400XDentistOrthodontics and Dentofacial OrthopedicsNo
91223G0001XDentistGeneral Practice30.017994OHIOYes

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: 4/28/2024

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