UNIVERSITY ORAL AND FACIAL SURGICAL CARE, LLC (NPI# 1164615134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164615134 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY ORAL AND FACIAL SURGICAL CARE, LLC |
| Practice Address |
2123 Abington Rd. 53a Cleveland OH 44106 |
| Mailing Address |
2123 Abington Rd. Cleveland OH 44106 |
| Practice Telephone | 2163682538 |
| Mailing Telephone | 2163682538 |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2007-08-23 |
| Authorized Official Name | DR. DALE BAUR (PRESIDENT) |
| Authorized Official Telephone | 2163682538 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 30017004 | OH | Other Service Providers |
| Street Address |
2123 ABINGTON RD. 53A |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347706 | Adeeb Oweidat | Anesthesiology | 1999 Circle Drive Centric, Apartment 417, Cleveland, OH 44106 | 2020-08-18 |
| 1104434240 | Bradly Miner | Student in an Organized Health Care Education/Training Program | Health Education Campus, 9501 Euclid Ave, Cleveland, OH 44106 | 2020-07-15 |
| 1306466974 | Ho Jun Lee | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave University Hospitals Cleveland Medical, Cleveland, OH 44106 | 2020-04-23 |
| 1528687837 | Shaleeka Cornelius | Student in an Organized Health Care Education/Training Program | 11100 Euclid Avenue Han 5042, University Hospitals Cleveland Medical Center, Cleveland, OH 44106 | 2020-04-16 |
| 1598393175 | Mikdat Ulas | Student in an Organized Health Care Education/Training Program | 111000 Euclid Avenue, Cleveland, OH 44106 | 2020-03-30 |
| 1790335651 | Michelle Clark | Home Health Aide | 1794 E 87th St, Cleveland, OH 44106 | 2019-09-12 |
| 1881246783 | Oziel Valdez Sanchez | Student in an Organized Health Care Education/Training Program | 11900 Euclid Ave, Cleveland, OH 44106 | 2019-07-10 |
| 1487216842 | Betina Griens Porto | Dentist | 9601 Chester Avenue, Case Western Reserve School of Dental Medicine, Cleveland, OH 44106 | 2019-07-05 |
| 1407417140 | Rebecca Petts | Dentist | 9601 Chester Ave, Cleveland, OH 44106 | 2019-06-24 |
| 1023677259 | Moeen Al Weshah | Student in an Organized Health Care Education/Training Program | 9601 Chester Ave # 239j3, Cleveland, OH 44106 | 2019-06-11 |
| Find all providers in zip 44106 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265896872 | Lindsay Brewster | Specialist | 163 County Road 2298, Cleveland, TX 77327-0118 | 2016-04-09 |
| 1972974855 | Ronald Sherman Coleman | Specialist | 343 Leatha Ln Nw, Cleveland, TN 37312-6444 | 2015-10-17 |
| 1457740961 | Carol Reaves | Specialist | 1113 East 141, St., Cleveland, OH 44110-3685 | 2015-01-21 |
| 1891118378 | Todd Karp | Specialist | 21855 Eaton Rd, Cleveland, OH 44126-2311 | 2014-02-04 |
| 1619226180 | Thomas M Lott Sr. | Specialist | 2486 Adair Mill Rd, Cleveland, GA 30528-3322 | 2012-08-30 |
| 1760712517 | Patrick Alton Gladding | Specialist | 2409 Lee Rd, Cleveland Heights, Cleveland, OH 44118-4124 | 2009-12-29 |
| 1477795227 | Linda Dorsey | Specialist | 2538 Keith St Nw Ste 8, Cleveland, TN 37312-3738 | 2009-03-25 |
| 1598906117 | John Robert Fowler Jr. | Specialist | Emergency Services Institute E 19, 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2009-03-11 |
| 1275772931 | Raed Nabil Bou Matar | Specialist | 2801 Mlk Jr Dr, Cleveland, OH 44104-3815 | 2009-02-19 |
| 1447405444 | Ivy Trinell Chambers | Specialist | 3737 E 154th St, Cleveland, OH 44120-4917 | 2008-11-18 |
| Find all providers in CLEVELAND | ||||
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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.