| Saint Luke's Dental Associates, Inc | |
|
11201 Shaker Blvd Suite 136 Cleveland OH 44104-3869 | |
| (216) 368-7238 | |
| (216) 274-9954 |
| Full Name | Saint Luke's Dental Associates, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11201 Shaker Blvd, Cleveland, Ohio |
| Authorized Official Name and Position | William F Lavigna (PRESIDENT) |
| Authorized Official Contact | 2163687238 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Luke's Dental Associates, Inc 11201 Shaker Blvd Suite 136 Cleveland OH 44104-3869 Ph: (216) 368-7238 | Saint Luke's Dental Associates, Inc 11201 Shaker Blvd Suite 136 Cleveland OH 44104-3869 Ph: (216) 368-7238 |
| NPI Number | 1083760763 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083760763 | NPI | - | NPPES |
| 1689665408 | Other | OH | NPI |
| 1871584870 | Other | OH | NPI |
| 1467443473 | Other | OH | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 14847 (Ohio) | Primary |
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