The Healthy Smile | |
34586 Lake Shore Blvd Eastlake OH 44095-2002 | |
(440) 951-7856 | |
(440) 946-7878 |
Full Name | The Healthy Smile |
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Speciality | Dentist - General Practice |
Location | 34586 Lake Shore Blvd, Eastlake, Ohio |
Authorized Official Name and Position | Jeffrey Gross (DOCTOR OWNER) |
Authorized Official Contact | 4409517856 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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The Healthy Smile 34586 Lake Shore Blvd Eastlake OH 44095-2002 Ph: (440) 951-7856 | The Healthy Smile 34586 Lake Shore Blvd Eastlake OH 44095-2002 Ph: (440) 951-7856 |
NPI Number | 1033130380 |
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Provider Enumeration Date | 07/22/2006 |
Last Update Date | 05/26/2011 |
Identifier | Type | State | Issuer |
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1033130380 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 30.014838 (Ohio) | Primary |