| E. V. Decastecker Dds Inc | |
|
7320 Industrial Park Blvd Mentor OH 44060-5318 | |
| (440) 975-9885 | |
| (440) 975-1634 |
| Full Name | E. V. Decastecker Dds Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7320 Industrial Park Blvd, Mentor, Ohio |
| Authorized Official Name and Position | Estela V. Decastecker (PRESIDENT) |
| Authorized Official Contact | 4409759885 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| E. V. Decastecker Dds Inc 7320 Industrial Park Blvd Mentor OH 44060-5318 Ph: (440) 975-9885 | E. V. Decastecker Dds Inc 7320 Industrial Park Blvd Mentor OH 44060-5318 Ph: (440) 975-9885 |
| NPI Number | 1386088185 |
|---|---|
| Provider Enumeration Date | 04/23/2013 |
| Last Update Date | 04/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386088185 | NPI | - | NPPES |
| 30020652 | Other | OH | LICENCE |
| 3087887 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30020652 (Ohio) | Primary |
Macy Family Dentistry Dental Clinic Medicare: Medicare Enrolled Practice Location: 9485 Mentor Ave, Suite 112, Mentor, OH 44060 Phone: 440-255-8133 Fax: 440-867-3310 | |
Dental Group Of Mentor, Jeffrey S. Rosenthal, Dds, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9575 Mentor Ave, Mentor, OH 44060 Phone: 440-352-5700 Fax: 440-352-5721 | |
Henry J. Fioritto, D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6303 Center St, Mentor, OH 44060 Phone: 440-951-5511 Fax: 440-255-5320 | |
Premier Smiles Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9179 Mentor Ave Ste K, Mentor, OH 44060 Phone: 440-205-1222 Fax: 440-974-5474 | |
Dr. Terry Scotese Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9179 Mentor Ave Unit K, Mentor, OH 44060 Phone: 440-205-1222 Fax: 440-974-5474 | |
Lakireddy Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7610 Mentor Ave, Mentor, OH 44060 Phone: 440-975-9300 | |
Kenneth H Lawrence Dds, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8857 Mentor Ave, Mentor, OH 44060 Phone: 440-974-2040 |