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BAINBRIDGE DENTAL ASSOCIATES INC NPI 1164935136


NPI Information

NPI: 1164935136
Provider Name: BAINBRIDGE DENTAL ASSOCIATES, INC
Classification: Dentist - 122300000X
Entity Type: Organization

CLIA Number: 36D0977118

Address:
16775 CHILLICOTHE RD
CHAGRIN FALLS, OH
ZIP 44023
Phone: (440) 543-3688
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BAINBRIDGE DENTAL ASSOCIATES, INC is a dentist in Chagrin Falls, OH. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. BAINBRIDGE DENTAL ASSOCIATES, INC NPI is 1164935136. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16775 CHILLICOTHE RD
CHAGRIN FALLS, OH
ZIP 44023-519
Phone: (440) 543-3688
Fax: (440) 543-3691

The provider's authorized official is Monique Renee Mcgraw .
The authorized official title is Office Manager and has the following contact phone number (440) 543-3688.

The CLIA number assigned to this NPI record is 36D0977118 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/13/2017 and was last updated on 11/13/2017.


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
1122300000XDentist17095OHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10553851MEDICAIDOHIO

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: 11/14/2023

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