Active NPI
Dental Professionals Cleveland-Lee,Inc.
- Dentist
- Elyria, OH
National Provider Identifier
1184896433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- DENTAL PROFESSIONALS CLEVELAND-LEE,INC.
- Practice address
- 435 Griswold Rd
Elyria, OH 44035-2304 - Phone
- (440) 324-2310
- Fax
- (440) 324-9467
- NPI assigned
- Mar 27, 2008
- Organization subpart
- Yes
- Parent organization
- DENTAL PROFESSIONALS CLEVELAND-LL,INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diane Ulichney
- Title
- Credentialing Manager
- Phone
- (440) 324-2310
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
435 Griswold Rd
Elyria, OH 44035-2304
Mailing address
435 Griswold Rd
Elyria, OH 44035-2304
Phone (440) 324-2310
Other names 1
- bright now dental
National Provider Directory
National Provider Directory- Part of
- Dental Professionals Cleveland-Nouneh Inc
Locations
435 Griswold Rd
Elyria, OH 44035
Phone (440) 324-2310
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Elyria, OH
- NPI 1306824370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206576000000",
"number": "1184896433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 GRISWOLD RD",
"city": "ELYRIA",
"state": "OH",
"postal_code": "440352304",
"telephone_number": "440-324-2310",
"fax_number": "440-324-9467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 GRISWOLD RD",
"city": "ELYRIA",
"state": "OH",
"postal_code": "440352304",
"telephone_number": "440-324-2310",
"fax_number": "440-324-9467"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTAL PROFESSIONALS CLEVELAND-LEE,INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DENTAL PROFESSIONALS CLEVELAND-LL,INC.",
"enumeration_date": "2008-03-27",
"last_updated": "2008-03-27",
"status": "A",
"authorized_official_last_name": "ULICHNEY",
"authorized_official_first_name": "DIANE",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "440-324-2310"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "bright now dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Elyria, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.