| North Coast Dental Center | |
|
19551 Euclid Ave Euclid OH 44117-1409 | |
| (216) 692-3777 | |
| (216) 692-3688 |
| Full Name | North Coast Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 19551 Euclid Ave, Euclid, Ohio |
| Authorized Official Name and Position | James M. Wensink (PRESIDENT) |
| Authorized Official Contact | 2166923777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Coast Dental Center 19551 Euclid Ave Euclid OH 44117-1409 Ph: (216) 692-3777 | North Coast Dental Center 19551 Euclid Ave Euclid OH 44117-1409 Ph: (216) 692-3777 |
| NPI Number | 1609059609 |
|---|---|
| Provider Enumeration Date | 12/12/2007 |
| Last Update Date | 12/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609059609 | NPI | - | NPPES |
| 0490740 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 30-014999 (Ohio) | Primary |
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