| Brooklyn Dental Group, Jeffrey S. Rosenthal, Dds, Inc. | |
|
4163 Pearl Rd. Cleveland OH 44109 | |
| (216) 860-0120 | |
| (216) 860-0479 |
| Full Name | Brooklyn Dental Group, Jeffrey S. Rosenthal, Dds, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4163 Pearl Rd., Cleveland, Ohio |
| Authorized Official Name and Position | Georgia Papandropoulos (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2168600120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brooklyn Dental Group, Jeffrey S. Rosenthal, Dds, Inc. 4163 Pearl Rd. Cleveland OH 44109 Ph: (216) 860-0120 | Brooklyn Dental Group, Jeffrey S. Rosenthal, Dds, Inc. 4163 Pearl Rd. Cleveland OH 44109 Ph: (216) 860-0120 |
| NPI Number | 1952919714 |
|---|---|
| Provider Enumeration Date | 07/17/2020 |
| Last Update Date | 07/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952919714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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