| Solon Pediatric Dentistry | |
|
34501 Aurora Rd Suite 305 Solon OH 44139-3873 | |
| (440) 528-1399 | |
| Not Available |
| Full Name | Solon Pediatric Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 34501 Aurora Rd, Solon, Ohio |
| Authorized Official Name and Position | Jacqueline M. Beard (PEDIATRIC DENTIST/PRESIDENT) |
| Authorized Official Contact | 4402238767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Solon Pediatric Dentistry 35401 Aurora Road Suite 305 Solon OH 44139-3808 Ph: (440) 528-1399 | Solon Pediatric Dentistry 34501 Aurora Rd Suite 305 Solon OH 44139-3873 Ph: (440) 528-1399 |
| NPI Number | 1619321734 |
|---|---|
| Provider Enumeration Date | 04/14/2016 |
| Last Update Date | 04/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619321734 | NPI | - | NPPES |
| 0078308 | Medicaid | OH | |
| 1063700789 | Other | OH | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 30.023827 (Ohio) | Primary |
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