Meckler Dental Providers (olmsted), INC
NPI #1093787624 in North Olmsted, Ohio
Provider Information
- NPI Number
- 1093787624
- Entity Type
- Organization
- Organization Name
- Meckler Dental Providers (olmsted), INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DENTALONE PARTNERS, INC
- Primary Specialty
- Dentist
- Enumeration Date
- Feb 7, 2006
- Last Updated
- Oct 19, 2018
Practice Location
- Address
- 4710 GREAT NORTHERN BLVD
- City
- North Olmsted
- State
- Ohio
- ZIP Code
- 44070-3427
- Phone
- (440) 716-6939
Authorized Official
- Name
- KATHLEEN STAUTIHAR
- Title
- SUPERVISOR, CREDENTIALING
- Phone
- (216) 584-1673
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - Endodontics — Endodontics |
| Dentist - General Practice — General Practice |
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
| Dentist - Periodontics — Periodontics |
| Dentist - Prosthodontics — Prosthodontics |
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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