Dental Group of Mentor, Jeffrey S. Rosenthal, DDS, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30-020624 Issued in OH

Legal business name

DENTAL GROUP OF MENTOR, JEFFREY S. ROSENTHAL, DDS, INC

Practice address

9575 Mentor Ave
Mentor, OH 44060-4521

Phone

(440) 352-5700

Fax

(440) 352-5721

NPI assigned

Jan 18, 2017

Last updated

Mar 26, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jeffrey S Rosenthal, D.D.S.

Title

Owner

Phone

(440) 352-5700

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1083150742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9575 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604521",
            "telephone_number": "440-352-5700",
            "fax_number": "440-352-5721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9575 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604521",
            "telephone_number": "440-352-5700",
            "fax_number": "440-352-5721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL GROUP OF MENTOR, JEFFREY S. ROSENTHAL, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-18",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "ROSENTHAL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-352-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-020624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Demarco
• Traci Demattia-Toth, LICDC
• Lisa Demeter, LISW-S
• Cassandra N Demeza, LSW
• Dental Group of Mentor
• Dental Professionals Cleveland-Nouneh, Inc. (brightnow dental)
• Amy Deptowicz
• Nicholas Walter Detore, M.D.
• Lauren Devany, LPCC
• Danielle Marie Deyoung, BS

• General Practice Dentistry in Mentor, OH
• Providers in Mentor, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.