Organization Active NPI

Dental Professionals Cleveland-Lee,Inc.

  • Dentist
  • Elyria, OH
National Provider Identifier
1184896433
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

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.

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.

Verify at the official NPI Registry.