Jeffrey J Orchen DDS Inc

Organization Active NPI Pediatric Dentistry · Maple Heights, OH

NPI 1366478828 · NPPES record last updated Jun 25, 2008

Key facts

NPI
1366478828
Entity type
Organization (NPI type 2)
Primary specialty
Pediatric Dentistry 1223P0221X
License
15639 (OH)
Legal business name
JEFFREY J ORCHEN DDS INC
Practice address
5525 Warrensville Center Road
Maple Heights, OH 44137-3125
Phone
(216) 663-1967
Fax
(216) 663-1819
NPI assigned
Jun 24, 2006
Organization subpart
No

Authorized official

Name
Mrs. Kristy Lynn Fakadej
Title
Office Manager
Phone
(216) 663-1967

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

5525 Warrensville Center Rd
Maple Heights, OH 44137
Phone (216) 663-1967

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223P0221X 15639 OH Yes

Addresses

Primary practice location

5525 Warrensville Center Road
Maple Heights, OH 44137-3125

Mailing address

5525 Warrensville Center Road
Maple Heights, OH 44137-3125
Phone (216) 663-1967

Other identifiers

IdentifierTypeStateIssuer
0363646MedicaidOH
112774OtherCIGNA HMO
476811OtherUNITED CONCORDIA
000472OtherDORAL
603924OtherCOMPBENEFITS
J679523OtherMIBCBS MICHIGAN
000000165484OtherANTHEM BCBS

Other providers in Maple Heights, OH

All providers in Maple Heights, OH · Pediatric Dentistry in Ohio

Sources for this page

Verify at the official NPI Registry.