Individual provider · Type 1 NPI

Jun Soetanto, DMD

Dentist · Cleveland, OH

NPI number 1154762599 Active

Practice location

11201 Shaker Blvd, Suite 136
Cleveland, OH 44104-3869

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XRES 33.79 (OH)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1154762599

Jun Soetanto, DMD's National Provider Identifier is 1154762599, issued on Jul 15, 2013. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Cleveland, OH. The record was last updated on Jul 15, 2013.