CWRU FACULTY DENTAL PRACTICE NPI 1245391424

NPI Information

NPI: 1245391424
Provider Name: CWRU FACULTY DENTAL PRACTICE
Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
2123 ABINGTON ROAD
CLEVELAND, OH
ZIP 44106
Phone: (216) 368-0592
Get Directions

CWRU FACULTY DENTAL PRACTICE is an endodontics dentist in Cleveland, OH. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. CWRU FACULTY DENTAL PRACTICE NPI is 1245391424. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2123 ABINGTON ROAD
CLEVELAND, OH
ZIP 44106-905
Phone: (216) 368-0592
Fax: (216) 368-6310

The provider's authorized official is Kathryn Davol Chapman .
The authorized official title is Administrator and has the following contact phone number (216) 368-0592.

The enumeration date for this NPI number is 12/12/2006 and was last updated on 8/22/2020.

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	1223E0200X	Dentist	Endodontics	30-00150	OHIO	Yes
2	1223G0001X	Dentist	General Practice	30-18847	OHIO	X
3	1223G0001X	Dentist	General Practice	30-20215	OHIO	X
4	1223P0300X	Dentist	Periodontics	30-022076	OHIO	X
5	1223P0700X	Dentist	Prosthodontics	30-00194	OHIO	X
6	1223X0400X	Dentist	Orthodontics and Dentofacial Orthopedics	30-00149	OHIO	X
7	1223X0400X	Dentist	Orthodontics and Dentofacial Orthopedics	30-021785	OHIO	X

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

NPI Synchronization or Removal

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