| M Mark Lepore DDS, Inc | |
|
5576 Mayfield Rd Lyndhurst OH 44124-2928 | |
| (440) 442-2901 | |
| (440) 442-1932 |
| Full Name | M Mark Lepore DDS, Inc |
|---|---|
| Speciality | Dentist |
| Location | 5576 Mayfield Rd, Lyndhurst, Ohio |
| Authorized Official Name and Position | Gena Marie Scheid (OFFICE MANGER) |
| Authorized Official Contact | 4404422901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M Mark Lepore DDS, Inc 5576 Mayfield Rd Lyndhurst OH 44124-2928 Ph: (440) 442-2901 | M Mark Lepore DDS, Inc 5576 Mayfield Rd Lyndhurst OH 44124-2928 Ph: (440) 442-2901 |
| NPI Number | 1437458551 |
|---|---|
| Provider Enumeration Date | 03/16/2011 |
| Last Update Date | 03/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437458551 | NPI | - | NPPES |
| 2772870 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 30.017191 (Ohio) | Primary |
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