Cleveland Dental Institute Llc

LBN: Cleveland Dental Institute Llc
Cleveland Dental Institute Llc is an health care organization with primary practice located at 4071 Lee Rd Ste 200 , Cleveland OH 44128-2100. The organization recently has 5 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics, Dental Providers / Pediatric Dentistry, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Multi-Specialty. Dental Providers / Dentist is the primary health care specialty. Cleveland Dental Institute Llc can be contacted via phone (216) 727-0234, or through Elrawy, Hussein F. via phone (216) 727-0234.

Contact Information

Primary practice address
4071 Lee Rd Ste 200 Cleveland OH 44128-2100
Phone: (216) 727-0234
Fax: (216) 727-1164
Website:
Map and Directions
Authorized official contact:
Name: Elrawy, Hussein F. Doctor of Dental Surgery (DDS)
Phone: (216) 727-0234

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 30022649 Ohio
Dental Providers / Dentist 122300000X 30023525 Ohio
Dental Providers / Endodontics 1223E0200X 30024296 Ohio
Dental Providers / Pediatric Dentistry 1223P0221X 30024868 Ohio
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1982118709
LBN Legal business name Cleveland Dental Institute Llc
DBA Doing business as
Authorized official Elrawy, Hussein F. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 1st, 2017
Last updated Jun 16th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982118709 NPPES
Ohio MEDICAID 230930922

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