| Periodontal Specialists Inc. | |
|
29160 Center Ridge Rd Suite J Westlake OH 44145-5225 | |
| (440) 835-8883 | |
| (440) 835-9395 |
| Full Name | Periodontal Specialists Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 29160 Center Ridge Rd, Westlake, Ohio |
| Authorized Official Name and Position | Eric W. Guirguis (PRESIDENT) |
| Authorized Official Contact | 4408358883 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Periodontal Specialists Inc. 29160 Center Ridge Rd Suite J Westlake OH 44145-5225 Ph: (440) 835-8883 | Periodontal Specialists Inc. 29160 Center Ridge Rd Suite J Westlake OH 44145-5225 Ph: (440) 835-8883 |
| NPI Number | 1356484307 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 03/25/2021 |
| Medicare PECOS PAC ID | 2961775341 |
|---|---|
| Medicare Enrollment ID | O20170906003619 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356484307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 18958 (Ohio) | Secondary |
| 261QS0112X | Clinic/center - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Eric Guirguis |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1831234533 PECOS PAC ID: 4789902842 Enrollment ID: I20170906003478 |
Williams Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2750 Dover Center Rd, Westlake, OH 44145 Phone: 440-835-7272 Fax: 440-835-7269 | |
Premier Family Dental - Westlake, Koussa, Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 24803 Detroit Rd, Suite A, Westlake, OH 44145 Phone: 440-835-5388 Fax: 440-835-2101 | |
Ballrick Orthodontics, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 28885 Center Ridge Rd Ste 203, Westlake, OH 44145 Phone: 440-835-6113 Fax: 440-331-8146 | |
Ballrick And Petts Orthodontics Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 28885 Center Ridge Rd Ste 203, Westlake, OH 44145 Phone: 440-835-6113 | |
Bennett Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 27748 Center Ridge Rd, Westlake, OH 44145 Phone: 440-835-2121 Fax: 440-835-2345 | |
Richard T Norcross Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 23850 Center Ridge Rd, Westlake, OH 44145 Phone: 440-835-2666 Fax: 440-835-2676 | |
Great Lakes Dentalof Westlake Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 25101 Detroit Rd, Suite 445, Westlake, OH 44145 Phone: 440-617-9429 Fax: 440-617-9457 |