| Berke Dental Center | |
|
2460 Fairmount Blvd Suite 218 Cleveland Heights OH 44106-3171 | |
| (216) 791-5191 | |
| (216) 231-4933 |
| Full Name | Berke Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2460 Fairmount Blvd, Cleveland Heights, Ohio |
| Authorized Official Name and Position | Robert Alan Shapiro (PRESIDENT) |
| Authorized Official Contact | 2167915191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Berke Dental Center 2460 Fairmount Blvd Suite 218 Cleveland Heights OH 44106-3171 Ph: (216) 791-5191 | Berke Dental Center 2460 Fairmount Blvd Suite 218 Cleveland Heights OH 44106-3171 Ph: (216) 791-5191 |
| NPI Number | 1184708026 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184708026 | NPI | - | NPPES |
| 0246531 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 015925 (Ohio) | Primary |
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