WESTSIDE DENTAL SLEEP CENTER LLC (NPI# 1063023430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063023430 |
| Entity Type | Organization |
| Organization Name | WESTSIDE DENTAL SLEEP CENTER LLC |
| Practice Address |
18611 Detroit Ave Lakewood OH 44107-3205 |
| Mailing Address |
30701 Lorain Rd Ste A North Olmsted OH 44070-6325 |
| Practice Telephone | 2162212210 |
| Mailing Telephone | 4402745000 |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-08-11 |
| Authorized Official Name | MICHAEL S PAP (PRESIDENT) |
| Authorized Official Telephone | 2162212210 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | OHIO BUSINESS LICENSE | 4508862 | 01 |
| Street Address |
18611 DETROIT AVE |
| City | LAKEWOOD |
| State | OH |
| Zip Code | 44107-3205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811939564 | Marc R Greenbaum Dds Inc | Dentist | 18611 Detroit Ave, Lakewood, OH 44107 | 2006-06-10 |
| 1952589756 | Michael Steven Pap | Dentist | 18611 Detroit Ave, Lakewood, OH 44107-3205 | 2008-02-04 |
| 1588842306 | Michael S. Pap Dds Inc | Dentist | 18611 Detroit Ave, Lakewood, OH 44107-3205 | 2008-02-04 |
| 1427094564 | Marc R Greenbaum | Dentist | 18611 Detroit Ave, Lakewood, OH 44107 | 2006-06-20 |
| 1346285368 | Edward J Glowski | Dentist | 18611 Detroit Ave, Lakewood, OH 44107 | 2006-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326522210 | Lawrence M Roth | Social Worker | 14701 Detroit Ave Ste 363, Lakewood, OH 44107 | 2018-09-18 |
| 1376065730 | Fareeha Khan | Internal Medicine | 12540 Edgewater Drive, Apt 411, Lakewood, OH 44107 | 2017-07-07 |
| 1912433756 | Julie Ann Foucher-urcuyo | Family Medicine | 14601 Detroit Ave, Fl 2, Lakewood, OH 44107 | 2017-05-11 |
| 1225563661 | Elizabeth Ann Rainbolt | Family Medicine | 14601 Detroit Ave Fl 2, Lakewood, OH 44107 | 2017-04-24 |
| 1255882551 | Kristen Murray | Dietitian, Registered | 14900 Detroit Ave Ste 207, Lakewood, OH 44107 | 2016-10-21 |
| 1265828131 | David Thomas Jonke | Dentist | 15640 Madison Ave., Lakewood, OH 44107 | 2015-04-08 |
| 1760885941 | Debra Watkins | Home Health Aide | 1510 Newman Ave Apt 406, Lakewood, OH 44107 | 2014-10-02 |
| 1396155198 | Monica M Owen | Occupational Therapist | 9200 Biddulph Rd., Brooklyn, OH 44107 | 2014-05-01 |
| 1730512229 | Marsha Elaine Favors | Licensed Practical Nurse | 1448 Lakeland Ave, Lakewood, OH 44107 | 2013-08-20 |
| 1508130006 | Ruth Rachel Raciniewski | Counselor | 15200 Madison Avenue, Lakewood, OH 44107 | 2012-03-01 |
| Find all providers in zip 44107 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558570218 | Aristides A Tsikoudakis | Dentist | 255 Union Blvd, Suite 440, Lakewood, CO 80228-1810 | 2007-05-21 |
| 1205877966 | Brian John Brada | Dentist | 255 Union Blvd, Suite 440, Lakewood, CO 80228-1810 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887670 | Hanin Hammoudeh | Dentist | 305 W 12th Ave # 3005s, Columbus, OH 43210-1267 | 2020-09-24 |
| 1235785957 | Diogo Do Nascimento Machado Gouveia | Dentist | 305 W 12th Ave Ofc 3005d, Columbus, OH 43210-1267 | 2019-08-19 |
| 1275060196 | Robert James Faulkner | Dentist | 5391 Grand Legacy Dr, Maineville, OH 45039-7783 | 2017-05-23 |
| 1225333875 | Manish Chopra Dmd Inc. | Dentist | 2752 Erie Ave Ste 1, Cincinnati, OH 45208-2207 | 2011-01-12 |
| 1164732871 | Burak Yilmaz | Dentist | 305 W12th Ave. Postle Hall, The Ohio State University College of Dentistry, Columbus, OH 43210 | 2010-10-15 |
| 1194054650 | Sanjay Karunagaran | Dentist | 5155 Buehlers Dr Ste 107, Medina, OH 44256-5389 | 2009-12-12 |
| 1073769204 | Meckler Dental Providers (macedonia), Inc. | Dentist | 8210 Macedonia Commons, Unit #6, Macedonia, OH 44056-1860 | 2008-08-07 |
| 1073779575 | Bradley A Purcell | Dentist | 55 Caren Ave Ste 270, Worthington, OH 43085-2515 | 2008-08-04 |
| 1619173994 | Charles Vito Caponigro | Dentist | 460 S State St, Westerville, OH 43081-2922 | 2007-06-25 |
| 1730394594 | Mark Steven Bello | Dentist | 1816 Columbus Pike, Delaware, OH 43015-2728 | 2007-05-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.