CRESTA DENTAL IMPLANTS LLC NPI 1114441417

NPI Information

  • NPI: 1114441417
  • Provider Name: CRESTA DENTAL IMPLANTS LLC
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Organization
  • Address: 7081 PEARL ROAD
    MIDDLEBURG HEIGHTS, OH
    ZIP 44130
  • Phone: (216) 282-1491

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NPI Details

CRESTA DENTAL IMPLANTS LLC is a periodontics dentist in Middleburg Heights, 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. CRESTA DENTAL IMPLANTS LLC NPI is 1114441417. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7081 PEARL ROAD
MIDDLEBURG HEIGHTS, OH
ZIP 44130-361
Phone: (216) 282-1491
Fax: (216) 920-9592

The provider's authorized official is Gail Sandish .
The authorized official title is Admin Asst and has the following contact phone number (216) 485-5788.

The enumeration date for this NPI number is 7/28/2017 and was last updated on 6/17/2021.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223E0200XDentistEndodontics30-025207OHIONo
21223E0200XDentistEndodontics30-025210OHIONo
31223G0001XDentistGeneral Practice30-015265OHIONo
41223P0300XDentistPeriodontics30-025209OHIONo
51223P0300XDentistPeriodonticsYes

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: 11/21/2025

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