| Colleen C Hickle, Dds, Inc. | |
|
3690 Orange Pl Ste 550 Beachwood OH 44122-4475 | |
| (216) 464-0500 | |
| (216) 464-0573 |
| Full Name | Colleen C Hickle, Dds, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3690 Orange Pl Ste 550, Beachwood, Ohio |
| Authorized Official Name and Position | Colleen C Gackowski (OWNER) |
| Authorized Official Contact | 2164640500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colleen C Hickle, Dds, Inc. 3690 Orange Pl Ste 550 Beachwood OH 44122-4475 Ph: (216) 464-0500 | Colleen C Hickle, Dds, Inc. 3690 Orange Pl Ste 550 Beachwood OH 44122-4475 Ph: (216) 464-0500 |
| NPI Number | 1710373451 |
|---|---|
| Provider Enumeration Date | 04/09/2015 |
| Last Update Date | 07/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710373451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 21356 (Ohio) | Primary |
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