| Immediadent | |
|
13907 Cedar Rd. South Euclid OH 44118 | |
| (216) 485-3216 | |
| (866) 591-0604 |
| Full Name | Immediadent |
|---|---|
| Speciality | Dentist |
| Location | 13907 Cedar Rd., South Euclid, Ohio |
| Authorized Official Name and Position | Monica L Long (MANAGER OF PROVIDER CREDENTIALING) |
| Authorized Official Contact | 9134281686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Immediadent Po Box 11568 Overland Park KS 66207 Ph: (913) 428-1686 | Immediadent 13907 Cedar Rd. South Euclid OH 44118 Ph: (216) 485-3216 |
| NPI Number | 1336535426 |
|---|---|
| Provider Enumeration Date | 04/15/2015 |
| Last Update Date | 08/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336535426 | NPI | - | NPPES |
| 2786936 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Anew Medspa 2120 Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2120 S Green Rd, South Euclid, OH 44121 Phone: 216-255-5201 | |
Charles P Fenell Dds Ms Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4568 Mayfield Rd, Suite #203, South Euclid, OH 44121 Phone: 216-291-9473 Fax: 216-691-4110 | |
Mark Kriwinsky Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14443 Cedar Rd, South Euclid, OH 44121 Phone: 216-382-2121 Fax: 216-382-7083 |