Organization · Type 2 NPI

Ohio Dental Professionals, Delisle, P.c.

General Practice Dentistry · Streetsboro, OH

NPI number 1801387972 Active

Practice location

9305 Market Square Dr
Streetsboro, OH 44241-5294

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 Streetsboro

See all in Streetsboro →

NPI record

NPI: 1801387972
Entity type: Organization (Type 2)
Issued: May 24, 2018
Last updated: Aug 29, 2019
Status: Active
Subpart: Yes of Ohio Dental Professionals, Delisle, P.c.

Other names

<unavail>
Advanced Dental Care of Streetsboro · doing business as

Authorized official

Cassandra Petersen
Credentialing Team Lead
(217) 540-8972

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.

Is this your record? How to update it.

About NPI 1801387972

Ohio Dental Professionals, Delisle, P.c.'s National Provider Identifier is 1801387972, issued on May 24, 2018. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Streetsboro, OH. The record was last updated on Aug 29, 2019.