| Lakewood Dental Partners, Llc | |
|
17500 Madison Ave Lakewood OH 44107-3535 | |
| (216) 302-2401 | |
| Not Available |
| Full Name | Lakewood Dental Partners, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 17500 Madison Ave, Lakewood, Ohio |
| Authorized Official Name and Position | Kevin Marshall (CEO) |
| Authorized Official Contact | 2163022401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakewood Dental Partners, Llc 620 Bear Run Ln Ste B Lewis Center OH 43035-8299 Ph: (614) 706-5206 | Lakewood Dental Partners, Llc 17500 Madison Ave Lakewood OH 44107-3535 Ph: (216) 302-2401 |
| NPI Number | 1518476001 |
|---|---|
| Provider Enumeration Date | 09/27/2017 |
| Last Update Date | 09/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518476001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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