| Psota Family Dentistry | |
|
7123 Pearl Rd Suite 100 Middleburg Heights OH 44130 | |
| (440) 888-6783 | |
| (440) 888-8399 |
| Full Name | Psota Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7123 Pearl Rd, Middleburg Heights, Ohio |
| Authorized Official Name and Position | Jonathan Jay Klineman (OWNER) |
| Authorized Official Contact | 4408886783 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psota Family Dentistry 7123 Pearl Road Suite 100 Middleburg Heights OH 44130 Ph: (440) 888-6783 | Psota Family Dentistry 7123 Pearl Rd Suite 100 Middleburg Heights OH 44130 Ph: (440) 888-6783 |
| NPI Number | 1356361257 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 04/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356361257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 14616 (Ohio) | Secondary |
| 122300000X | Dentist | 21039 (Ohio) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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