| Periodontal Associates, Inc. | |
|
29001 Cedar Rd Suite 450 Lyndhurst OH 44124-4062 | |
| (440) 461-3400 | |
| (440) 461-1722 |
| Full Name | Periodontal Associates, Inc. |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 29001 Cedar Rd, Lyndhurst, Ohio |
| Authorized Official Name and Position | Roger Anthony Hess (PRESIDENT) |
| Authorized Official Contact | 4404613400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Periodontal Associates, Inc. 29001 Cedar Rd Suite 450 Lyndhurst OH 44124-4062 Ph: (440) 461-3400 | Periodontal Associates, Inc. 29001 Cedar Rd Suite 450 Lyndhurst OH 44124-4062 Ph: (440) 461-3400 |
| NPI Number | 1356498844 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356498844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 18232 (Ohio) | Primary |
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