| Jeffrey J Orchen Dds Inc | |
|
5525 Warrensville Center Road Maple Heights OH 44137-3125 | |
| (216) 663-1967 | |
| (216) 663-1819 |
| Full Name | Jeffrey J Orchen Dds Inc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5525 Warrensville Center Road, Maple Heights, Ohio |
| Authorized Official Name and Position | Kristy Lynn Fakadej (OFFICE MANAGER) |
| Authorized Official Contact | 2166631967 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey J Orchen Dds Inc 5525 Warrensville Center Road Maple Heights OH 44137-3125 Ph: (216) 663-1967 | Jeffrey J Orchen Dds Inc 5525 Warrensville Center Road Maple Heights OH 44137-3125 Ph: (216) 663-1967 |
| NPI Number | 1366478828 |
|---|---|
| Provider Enumeration Date | 06/24/2006 |
| Last Update Date | 06/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366478828 | NPI | - | NPPES |
| 0363646 | Medicaid | OH | |
| 112774 | Other | CIGNA HMO | |
| 476811 | Other | UNITED CONCORDIA | |
| 000472 | Other | DORAL | |
| 603924 | Other | COMPBENEFITS | |
| J679523 | Other | MI | BCBS MICHIGAN |
| 000000165484 | Other | ANTHEM BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 15639 (Ohio) | Primary |
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