Organization · Type 2 NPI

Case Dental Medicine Support Services, Llc.

Oral and Maxillofacial Surgery (Dentist) · Cleveland, OH

NPI number 1104059658 Active

Practice location

9601 Chester Ave, Suite 154
Cleveland, OH 44106-1666

Fax (216) 368-4338

Mailing address

P.o. Box 415
Chesterland, OH 44026-0415

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1104059658

Case Dental Medicine Support Services, Llc.'s National Provider Identifier is 1104059658, issued on Sep 1, 2009. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Cleveland, OH. The record was last updated on Jun 22, 2021.