Theodorou Dental Group LLC

Primary specialty

DentistTaxonomy code 122300000X

License

21131 Issued in OH

Legal business name

THEODOROU DENTAL GROUP LLC

Doing business as

Strongsville Dental Associates

Practice address

14783 Pearl Rd
Strongsville, OH 44136-5026

Phone

(440) 238-1300

NPI assigned

Apr 30, 2014

Organization subpart

No

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

Authorized official

Name

Christ Theodorou, DMD

Title

Owner/Dentist

Phone

(440) 238-1300

Specialties & licenses 1

Addresses

Other names 1

• Strongsville Dental Associates Doing business as

Locations

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398816000000",
    "number": "1891105847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14783 PEARL RD",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441365026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14783 PEARL RD",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441365026",
            "telephone_number": "440-238-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODOROU DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-30",
        "last_updated": "2014-04-30",
        "status": "A",
        "authorized_official_last_name": "THEODOROU",
        "authorized_official_first_name": "CHRIST",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "440-238-1300",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "21131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Strongsville Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Cleveland Clinic Foundation (Strongsville FHC and ASC)
• The Cleveland Clinic Foundation
• The Mat Solution
• The Radebaugh LLC (Massage Heights)
• The Stevens Center, LLC (The Stevens Center)
• Thomas David Thomas, DDS
• Taylor Marie Thur-Kenny, LPN
• Thomas Anton Tima
• Jessica L Toland, PA-C
• Rachel Tomasewski, LPCC, LICDC, ATR

• Dentist in Strongsville, OH
• Providers in Strongsville, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; 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.