MECKLER DENTAL PROVIDERS (OLMSTED), INC

NORTH OLMSTED, OH
NPI1093787624
Doing Business AsDENTALWORKS OF NORTH OLMSTED
Doing Business AsDENTALWORKS
Entity TypeOrganization
Authorized ContactKATHLEEN STAUTIHAR
Supervisor, Credentialing
216-584-1673
Organization Subpart ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OH  30.017994)
Additional Taxonomies122300000X Dentist
1223E0200X Dentist, Endodontics
1223G0001X Dentist, General Practice
1223P0221X Dentist, Pediatric Dentistry
1223P0300X Dentist, Periodontics
1223P0700X Dentist, Prosthodontics
1223S0112X Dentist, Oral and Maxillofacial Surgery
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
Enumeration Date2006-02-07
Last Update Date2018-10-19
Business Address
MECKLER DENTAL PROVIDERS (OLMSTED), INC
4710 GREAT NORTHERN BLVD
NORTH OLMSTED, OH 44070-3427
Phone number: 440-716-6939
Mailing Address
MECKLER DENTAL PROVIDERS (OLMSTED), INC
PO BOX 860036
MINNEAPOLIS, MN 55486-0036
Phone number: 440-734-6500