Eisenberg, Dean Steven
Eisenberg, Dean Steven is an sole proprietor health care provider with primary practice located at 6551 Wilson Mills Suite 102, Mayfield Village OH 44143-3425. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Eisenberg, Dean Steven can be contacted via phone (440) 684-1133.Contact Information
Primary practice address
6551 Wilson Mills Suite 102
Mayfield Village OH 44143-3425
Phone: (440) 684-1133
Fax: (440) 684-1199
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 30017509 | Ohio |
Profile Details
| NPI number | 1396907440 |
|---|---|
| LBN Legal business name | Eisenberg, Dean Steven |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 30th, 2008 |
| Last updated | Jun 30th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396907440 | NPPES |
| Ohio | MEDICAID | 2206651 |
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