Northeast Ohio Center For Dental Sleep Medicine Llc | |
22901 Millcreek Blvd Suite #140 Beachwood OH 44122-5728 | |
(216) 831-1170 | |
Not Available |
Full Name | Northeast Ohio Center For Dental Sleep Medicine Llc |
---|---|
Speciality | Clinic/center - Dental |
Location | 22901 Millcreek Blvd, Beachwood, Ohio |
Authorized Official Name and Position | Douglas E Desatnik (PRESIDENT) |
Authorized Official Contact | 2168311170 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Northeast Ohio Center For Dental Sleep Medicine Llc 22901 Millcreek Blvd Suite #140 Beachwood OH 44122-5728 Ph: (216) 831-1170 | Northeast Ohio Center For Dental Sleep Medicine Llc 22901 Millcreek Blvd Suite #140 Beachwood OH 44122-5728 Ph: (216) 831-1170 |
NPI Number | 1558801480 |
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Provider Enumeration Date | 02/25/2017 |
Last Update Date | 11/28/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558801480 | NPI | - | NPPES |
1417269820 | Other | OH | UPIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | OH 30-023233 (Ohio) | Primary |
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Chagrin Highlands Dental Group, Douglas E. Desatnik, D.d.s., Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 22901 Millcreek Blvd, Suite #140, Beachwood, OH 44122 Phone: 216-464-9800 Fax: 216-464-9833 | |
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