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CRESTA DENTAL IMPLANTS LLC NPI 1114441417


NPI Information

NPI: 1114441417
Provider Name: CRESTA DENTAL IMPLANTS LLC
Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
7081 PEARL ROAD
MIDDLEBURG HEIGHTS, OH
ZIP 44130
Phone: (216) 282-1491
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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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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: 4/28/2024

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.