| Barry R. Jaffedds,inc | |
|
6285 Pearl Rd Suite 11 Parma Heights OH 44130-3070 | |
| (440) 845-0700 | |
| (440) 845-9855 |
| Full Name | Barry R. Jaffedds,inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6285 Pearl Rd, Parma Heights, Ohio |
| Authorized Official Name and Position | Barry R Jaffe (PRESIDENT/OWNER) |
| Authorized Official Contact | 4408450700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Barry R. Jaffedds,inc 6285 Pearl Rd Suite 11 Parma Heights OH 44130-3070 Ph: (440) 845-0700 | Barry R. Jaffedds,inc 6285 Pearl Rd Suite 11 Parma Heights OH 44130-3070 Ph: (440) 845-0700 |
| NPI Number | 1083875447 |
|---|---|
| Provider Enumeration Date | 06/18/2008 |
| Last Update Date | 06/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083875447 | NPI | - | NPPES |
| 0159420 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 013685 (Ohio) | Primary |
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