NPI 1083760763

Saint Luke's Dental Associates, INC

Organisation General Practice Dentistry Cleveland, OH

Practice location

Address: 11201 Shaker Blvd Suite 136, Cleveland, OH 44104-3869
Phone: (216) 368-7238
Fax: (216) 274-9954

Authorised official

Name: William F Lavigna
Title: President
Phone: (216) 368-7238

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 14847 (OH)

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Registry record

NPI: 1083760763
Entity type: Organization
NPI issued: 26 Jan 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.