| Lakewood Dental Group, Jeffrey S Rosenthal Dds Inc | |
|
17117 Detroit Ave Lakewood OH 44107-3622 | |
| (216) 221-0300 | |
| Not Available |
| Full Name | Lakewood Dental Group, Jeffrey S Rosenthal Dds Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 17117 Detroit Ave, Lakewood, Ohio |
| Authorized Official Name and Position | Amy J Shreves (CREDENTIALING MANAGER) |
| Authorized Official Contact | 4403525700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakewood Dental Group, Jeffrey S Rosenthal Dds Inc 9571 Mentor Ave Mentor OH 44060-4521 Ph: (440) 352-5700 | Lakewood Dental Group, Jeffrey S Rosenthal Dds Inc 17117 Detroit Ave Lakewood OH 44107-3622 Ph: (216) 221-0300 |
| NPI Number | 1902327315 |
|---|---|
| Provider Enumeration Date | 07/06/2017 |
| Last Update Date | 07/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902327315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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