Organization · Type 2 NPI

Ohio Dental Professionals, Delisle, P.c.

General Practice Dentistry · Lakewood, OH

NPI number 1255049110 Active

Practice location

13616 Madison Ave
Lakewood, OH 44107-4709

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

3 other providers at this address

Other general practice dentistry providers in Lakewood

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NPI record

NPI: 1255049110
Entity type: Organization (Type 2)
Issued: Nov 9, 2022
Last updated: Mar 23, 2023
Status: Active
Subpart: Yes of Ohio Dental Professionals, Delisle, P.c.

Other names

<unavail>
Peak Dental of Lakewood · doing business as

Authorized official

Courtney Monteith
Credentialing Coordinator
(217) 540-8306

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1255049110

Ohio Dental Professionals, Delisle, P.c.'s National Provider Identifier is 1255049110, issued on Nov 9, 2022. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Lakewood, OH. The record was last updated on Mar 23, 2023.