Meckler Dental Providers (great Lakes), Inc.
NPI #1801859681 in Willoughby, Ohio
Provider Information
- NPI Number
- 1801859681
- Entity Type
- Organization
- Organization Name
- Meckler Dental Providers (great Lakes), Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DENTALONE PARTNERS, INC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 11, 2006
- Last Updated
- Mar 17, 2018
Practice Location
- Address
- 36173 EUCLID AVE
- City
- Willoughby
- State
- Ohio
- ZIP Code
- 44094-4410
- Phone
- (440) 255-5631
Authorized Official
- Name
- RACHEL NITTINGER
- Title
- MANAGER CREDENTIALING
- Phone
- (972) 755-0816
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Endodontics — Endodontics |
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
| Dentist - Periodontics — Periodontics |
| Dentist - Prosthodontics — Prosthodontics |
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
| Dentist |
| Dentist - General Practice — General Practice |
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