INNOVATIVE DENTAL (NPI# 1659723534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659723534 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE DENTAL |
| Other Organization Name | HILLS INNOVATIVE DENTAL INC |
| Practice Address |
13922 Cedar Rd Ste 3 Cleveland OH 44118-3204 |
| Practice Telephone | 2167210500 |
| Practice Fax Number | 2163715775 |
| Mailing Telephone | 2167210500 |
| Mailing Fax Number | 2163715775 |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2017-03-15 |
| Authorized Official Name | EDWARD R HILLS (OFFICE MANAGER) |
| Authorized Official Telephone | 2167210500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
OH | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Hills Innovative Dental Inc | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043622368 | Innovative Dental | Preferred Provider Organization | 3424 S Culpepper Ct, Springfield, MO 65804-3755 | 2014-05-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Ohio Business Entities | INNOVATIVE DENTAL ARTS - MICHAEL ALSOUSS DDS | 5500 Broadview Rd, Parma, OH 44134 |
| New York State Corporations | INNOVATIVE DENTAL CARE, P.C. | 110-50 71st Rd, Ste 1-O, Forest Hills, New York 11375 |
| New York State Corporations | INNOVATIVE DENTAL CONSTRUCTION LLC | 31 Main Street, Chester, Nj 07930 |
| Colorado Business Entities | Innovative Dental Design, Inc. | 1345 Dover St, Broomfield, CO 80020 |
| New York State Corporations | INNOVATIVE DENTAL DESIGNS, INC. | 125 Michael Drive, Suite 101, Syosset, Ny 11791 |
| New York State Corporations | INNOVATIVE DENTAL EQUIPMENT AND SERVICES, INC. | Po Box 31, Hilton, Ny 14468 |
| Colorado Business Entities | Innovative Dental Holdings LLC | 618 Mountain Village Blvd, Suite 203d, Mountain Village, CO 81435 |
| Ohio Business Entities | INNOVATIVE DENTAL LAB, LLC | 24558 Tricia Dr, Westlake, OH 44145 |
| New York State Corporations | INNOVATIVE DENTAL LABORATORY SERVICES, INC. | 3435 Harlem Road, Buffalo, New York 14225 |
| Oregon Corporations, Companies and Business Names | INNOVATIVE DENTAL PRACTICE SOLUTIONS, LLC | 41763 Kingston Jordan Rd Se, Stayton, OR 97383 |
| Street Address |
13922 CEDAR RD STE 3 |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44118-3204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083237713 | Alison Marie Meehan | Counselor | 22001, Shaker Heights, OH 44118 | 2020-05-28 |
| 1437788593 | Tierra Banks | Community Health Worker | 3 Severance Circle #18618, Cleveland Heights, OH 44118 | 2020-04-02 |
| 1881220382 | Equillia Forte-mostella | Home Health Aide | 1629 Ivydale Rd, Cleveland Hts, OH 44118 | 2020-03-16 |
| 1225673080 | Karen Dames | Technician | 3260 Tullamore Rd., Cleveland Heights, OH 44118 | 2019-11-15 |
| 1285278325 | Vernessa Faye Jackson | Counselor | 22101 Fairmount Blvd, Shaker Heights, OH 44118 | 2019-11-01 |
| 1447814942 | Bluestone Child and Adolescent Psychiatric Hospital | Psychiatric Unit | 2575 S. Belvoir Blvd., University Heights, OH 44118 | 2019-04-30 |
| 1073009155 | Clarence Taylor | Counselor | 2490 Leeblvd, Cleveland, OH 44118 | 2018-07-02 |
| 1992290258 | Janet Spruill | Counselor | 2490 Lee Blvd Ste 107, Cleveland Heights, OH 44118 | 2018-06-28 |
| 1295229532 | Marcia Webster | Nurse's Aide | 3810 Grosvenor, South Euclid, OH 44118 | 2018-06-20 |
| 1508350067 | Adam M Oulton | Case Manager/Care Coordinator | 22001 Fairmont Boulevard, Shaker Heights, OH 44118 | 2018-06-19 |
| Find all providers in zip 44118 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1215569587 | Dental Associates of Cleveland | Clinic/Center | 33 Mouse Creek Rd Nw, Cleveland, TN 37312-4840 | 2020-02-05 |
| 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.