CLEVELAND DENTAL INSTITUTE LLC (NPI# 1003276106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003276106 |
| Entity Type | Organization |
| Organization Name | CLEVELAND DENTAL INSTITUTE LLC |
| Practice Address |
11201 Shaker Blvd Cleveland OH 44104-3869 |
| Practice Telephone | 2163687238 |
| Mailing Telephone | 2163687238 |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2016-03-02 |
| Authorized Official Name | DR. HUSSEIN ELRAWY (PRESIDENT) |
| Authorized Official Telephone | 4405322243 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
30022649 | OH | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982118709 | Cleveland Dental Institute LLC | Clinic/Center | 4071 Lee Rd Ste 200, Cleveland, OH 44128-2100 | 2017-12-01 |
| Street Address |
11201 SHAKER BLVD |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44104-3869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861495236 | Angela M Bennett | Family Medicine | 11201 Shaker Blvd, Suite 102a, Cleveland, OH 44104 | 2005-05-31 |
| 1659997492 | Jalysa Blake | Case Manager/Care Coordinator | 11201 Shaker Blvd, Cleveland, OH 44104-3869 | 2020-06-17 |
| 1417572348 | Camille Horton | Case Manager/Care Coordinator | 11201 Shaker Blvd, Cleveland, OH 44104-3869 | 2020-06-16 |
| 1073136024 | Carol Range | Case Manager/Care Coordinator | 11201 Shaker Blvd, Cleveland, OH 44104-3869 | 2020-05-26 |
| 1265052179 | Brieana Wilson | Case Manager/Care Coordinator | 11201 Shaker Blvd, Cleveland, OH 44104-3869 | 2020-04-21 |
| 1851802615 | Aditi Parikh | Dentist | 11201 Shaker Blvd, Cleveland, OH 44104-3869 | 2017-10-19 |
| 1932610698 | Quentin Joh-douglas Montgomery | Dentist | 11201 Shaker Blvd, Cleveland, OH 44104 | 2017-10-19 |
| 1972952554 | Cleveland Accident Rehab, LLC | Chiropractor | 11201 Shaker Blvd, 322, Cleveland, OH 44104 | 2016-06-06 |
| 1336527340 | Lawrence Rossoff | Dentist | 11201 Shaker Blvd, #136, Cleveland, OH 44104-3869 | 2015-05-11 |
| 1790179992 | Professional Dental Alliance | Dentist | 11201 Shaker Blvd, 136, Cleveland, OH 44104-3869 | 2015-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619510419 | Gwen Burtin | Technician | 9908 Kennedy Ave, Cleveland, OH 44104 | 2019-10-24 |
| 1215422001 | Julia Shneyderman | Dentist | 11202 Shaker Blvd Ste 136, Cleveland, OH 44104 | 2018-06-25 |
| 1477058527 | Kwananda A Plato | Technician | 9717 Elwell Ave., Cleveland, OH 44104 | 2018-03-29 |
| 1073035887 | Tia Marie Heard | Home Health | 4591 Quincy Avenue Building Q, Cleveland, OH 44104 | 2017-07-13 |
| 1407306608 | Shelby Mcquiller | Social Worker | 2632 E 115th St, Cleveland, OH 44104 | 2016-10-11 |
| 1568852390 | Cleveland Arts & Social Sciences Academy | Psychologist | 10701 Shaker Blvd, Cleveland, OH 44104 | 2015-02-02 |
| 1164827705 | Eboni Danyale Jordan | Licensed Practical Nurse | 3143 East 99th, Cleveland, OH 44104 | 2014-10-24 |
| 1902224157 | Woodland Academy, Inc. | Local Education Agency (LEA) | 10615 Lamontier Blvd., Cleveland, OH 44104 | 2014-04-04 |
| 1467793778 | Teresa M Evans-guyton | Nurse Practitioner | 11201 Shaker Blvd Ste 240, Cleveland, OH 44104 | 2013-03-12 |
| 1023387057 | Roslyn Jeanette Carter | Home Health Aide | 9423 Ramona Blvd, Cleveland, OH 44104 | 2011-12-20 |
| Find all providers in zip 44104 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659723534 | Innovative Dental | Clinic/Center | 13922 Cedar Rd Ste 3, Cleveland, OH 44118-3204 | 2016-07-05 |
| 1407207103 | Union Dental Care, Jeffrey J. Hildebrandt, Dds, Inc. | Clinic/Center | 17535 Rosbough Blvd Ste 203, Cleveland, OH 44130-8362 | 2016-06-24 |
| 1639537616 | Broadway Family Dental Presented By Dr. Tariq Sayegh Bds LLC | Clinic/Center | 5716 Broadway Avenue, Cleveland, OH 44127-1715 | 2016-02-04 |
| 1023275013 | Lakeshore Community Dental Clinic | Clinic/Center | 1290 North Ave, Lakeshore Community Dental Clinic, Cleveland, WI 53015-1412 | 2008-05-19 |
| 1821118787 | M. J. Chrzanowski, D.d.s., Inc. | Clinic/Center | 782 E 185th St, Cleveland, OH 44119-2174 | 2007-04-01 |
| 1396874426 | Care Alliance | Clinic/Center | 1530 Saint Clair Avenue, Cleveland, OH 44114-2004 | 2007-03-05 |
| 1750418380 | Denison Dental Assoc Inc | Clinic/Center | 7140 Denison Ave, Cleveland, OH 44102 | 2007-02-28 |
| 1225648017 | Youstina Mozeih Shaker Mikhail | Clinic/Center | 9601 Chester Ave, Cleveland, OH 44106-1666 | 2020-08-05 |
| 1952919714 | Brooklyn Dental Group, Jeffrey S. Rosenthal, D.d.s., Inc. | Clinic/Center | 4163 Pearl Rd, Cleveland, OH 44109-3332 | 2020-07-17 |
| 1124644455 | Delta Family Dental, Pllc | Clinic/Center | 201 W Sunflower Rd, Cleveland, MS 38732-2637 | 2020-06-23 |
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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.