Provider Type Icon

MODELO DENTAL CARE INC. NPI 1255382800


NPI Information

NPI: 1255382800
Provider Name: MODELO DENTAL CARE, INC.

Former Legal Business Name: MODELO DENTAL CARE, INC.

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2012 W 25TH ST
#720
CLEVELAND, OH
ZIP 44113
Phone: (216) 687-0062
Get Directions

MODELO DENTAL CARE, INC. is a general practice dentist in Cleveland, 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. MODELO DENTAL CARE, INC. NPI is 1255382800. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Modelo Dental Care, Inc..

The provider's business location address is:

2012 W 25TH ST
#720
CLEVELAND, OH
ZIP 44113-135
Phone: (216) 687-0062
Fax: (216) 687-9529

The provider's authorized official is Sara Nazco .
The authorized official title is Dds and has the following contact phone number (216) 687-0062.

The enumeration date for this NPI number is 5/16/2006 and was last updated on 10/20/2008.


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
11223G0001XDentistGeneral Practice3019317OHIOYes

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
10918476MEDICAIDOHIO

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.