Western Reserve Periodontics, Inc in Beachwood - Periodontics
Western Reserve Periodontics, Inc - NPI 1699964759
Western Reserve Periodontics, Inc is a Periodontics in Beachwood, Ohio. Western Reserve Periodontics, Inc practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Western Reserve Periodontics, Inc is 1699964759. The last update date is 2007-10-15.
Western Reserve Periodontics, Inc's current location address is 3609 Park East Dr, Beachwood, Ohio. You can contact this provider via phone number 2164647338. The mailing address for Western Reserve Periodontics, Inc is 3609 Park East Dr, Beachwood, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Western Reserve Periodontics, Inc |
|---|---|
| Address | 3609 Park East Dr, Beachwood, Ohio |
| Phone Number | 2164647338 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SECRETARY/ |
|---|---|
| Authorized Official Name | Rosenberg A Fredrick |
| Credentials | D.D.S. |
| Telephone Number | 2164648985 |
NPI Number Detail
| NPI Number | 1699964759 |
|---|---|
| Provider Enumeration Date | 2007-10-15 |
| Last Updated Date | 2007-10-15 |
Provider Mailing Address Detail
| Address | 3609 Park East Dr |
|---|---|
| City | Beachwood |
| State | Ohio (OH) |
| Post Code | 441224331 |
| Phone Number | 2164647338 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
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Definition: 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 structure |
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What is the Western Reserve Periodontics, Inc's 1699964759?
The Western Reserve Periodontics, Inc's NPI (National Provider Identifier) Number is 1699964759. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Western Reserve Periodontics, Inc is physically located?
The Western Reserve Periodontics, Inc is situated at the following address: 3609 Park East Dr, Beachwood, OH 441224331.
What is Western Reserve Periodontics, Inc's area of expertise and its corresponding taxonomy classification?
The Western Reserve Periodontics, Inc's field of specialization is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their areas of practice.
When did Western Reserve Periodontics, Inc receive its 1699964759 assignment?
The Western Reserve Periodontics, Inc was assigned its 1699964759 on 2007-10-15, which is the date when this unique identifier was issued to the organization.
When was the information regarding Western Reserve Periodontics, Inc most recently updated?
The details pertaining to the Western Reserve Periodontics, Inc, including its address, specialty, and other relevant information, were last refreshed on 2007-10-15.
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