BEACHCLIFF DENTAL ASSOCIATES OF ROCKY RIVER - A THEODOROU DMD LLC (NPI# 1538772405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538772405 |
| Entity Type | Organization |
| Organization Name | BEACHCLIFF DENTAL ASSOCIATES OF ROCKY RIVER - A THEODOROU DMD LLC |
| Practice Address |
19111 Detroit Rd Ste 204 Rocky River OH 44116-1740 |
| Mailing Address |
19111 Detroit Rd Ste 206 Rocky River OH 44116-1740 |
| Practice Telephone | 4403561000 |
| Practice Fax Number | 4403562090 |
| Mailing Telephone | 4403561000 |
| Mailing Fax Number | 4403562090 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |
| Authorized Official Name | TINA CHASE (INSURANCE SPECIALIST) |
| Authorized Official Telephone | 4403562089 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0402338 | 05 |
| Street Address |
19111 DETROIT RD STE 204 |
| City | ROCKY RIVER |
| State | OH |
| Zip Code | 44116-1740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407958960 | Anastasia Theodorou | Dentist | 19111 Detroit Rd Ste 204, Rocky River, OH 44116-1740 | 2006-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902319148 | Cory Randall Lamar | Chiropractor | 21820 Center Ridge Rd, Rocky River, OH 44116 | 2017-11-09 |
| 1376065722 | Cle Physical Therapy LLC | Physical Therapy Assistant | 20340 Center Ridge Road, Rocky River, OH 44116 | 2017-07-07 |
| 1649709056 | Kevin Skrzyniecki | Physical Therapist | 2651 Hampton Rd, Rocky River, OH 44116 | 2017-06-08 |
| 1144610163 | Meagan Prost | Counselor | 20525 Detroit Rd Ste 8, Rocky River, OH 44116 | 2015-01-28 |
| 1760813984 | Mary Jo Mcnamara | Registered Nurse | 1724 Wooster Rd, Rocky River, OH 44116 | 2013-12-13 |
| 1093157232 | Rebecca M Kondrich | Social Worker | 20088 Center Ridge Rd Ste 101, Rocky River, OH 44116 | 2013-07-29 |
| 1326481169 | Sara A. Schrecengost | Counselor | 20800 Center Ridge Road, Suite 401, Rocky River, OH 44116 | 2013-04-11 |
| 1164764718 | Walter S Grossman | Dentist | 20575 Center Ridge Road, Suite 400, Rocky River, OH 44116 | 2013-03-21 |
| 1255654794 | Gregory L Chaplin | Physical Therapist | 2921 Lakeview Avenue, Rocky River, OH 44116 | 2010-03-11 |
| 1730325069 | Holly Elizabeth Kirk | Counselor | 20525 Center Ridge Rd Ste 403, Rocky River, OH 44116 | 2008-12-16 |
| Find all providers in zip 44116 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124238340 | Richard G Skoula | Dentist | 19111 Detroit Rd, Suite 204, Rocky River, OH 44116-1786 | 2007-05-23 |
| 1245353515 | Robert William Knight | Dentist | 21671 River Oaks Dr, Rocky River, OH 44116-3168 | 2007-04-09 |
| 1609905405 | Gregory Blair Leifer | Dentist | 21851 Center Ridge Road #598, Rocky River, OH 44116-3901 | 2007-03-05 |
| 1134297013 | William L Farr | Dentist | 21851 Center Ridge Rd Ste 506, Rocky River, OH 44116-3901 | 2006-12-01 |
| 1710061122 | Terrence Leo Hunt | Dentist | 1690 Wright Ave, Rocky River, OH 44116-1910 | 2006-10-24 |
| 1407958960 | Anastasia Theodorou | Dentist | 19111 Detroit Rd Ste 204, Rocky River, OH 44116-1740 | 2006-09-03 |
| 1700825379 | Scott Nathan Shapiro | Dentist | 19300 Detroit Rd, Suite 206, Rocky River, OH 44116-1847 | 2006-06-06 |
| 1285079806 | Michael Thomas Betor | Dentist | 21851 Center Ridge Rd, Suite 307, Rocky River, OH 44116-3976 | 2013-05-09 |
| 1760774343 | Beachcliff Dental Associates of Rocky River | Dentist | 19111 Detroit Rd, Suite 204, Rocky River, OH 44116-1786 | 2011-05-13 |
| 1295064681 | William L. Eick | Dentist | 21851 Center Ridge Rd, 415, Rocky River, OH 44116-3976 | 2009-12-14 |
| Find all providers in ROCKY RIVER | ||||
| City | ROCKY RIVER |
| Zip Code | 44116 |
Please comment or provide details below to improve the information on BEACHCLIFF DENTAL ASSOCIATES OF ROCKY RIVER - A THEODOROU DMD LLC.
| 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.