CASE DENTAL MEDICINE SUPPORT SERVICES, LLC.
NPI 1104059658
Dentist - Oral and Maxillofacial Surgery in Cleveland, OH

Active since September 01, 2009
9601 CHESTER AVE, SUITE 154, CLEVELAND, OH 44106(216) 368-3102(216) 368-4338 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 22, 2021, Dec 16, 2016 (2 updates tracked since 2016).

About Case Dental Medicine Support Services, Llc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CASE DENTAL MEDICINE SUPPORT SERVICES, LLC. (NPI 1104059658) is a healthcare organization registered as an oral and maxillofacial surgery in Cleveland, Ohio and active in the NPI registry since September 2009. The organization lists Dale A. Baur, Department Chair, as its authorized official.

NPPES Registry Identity

NPI1104059658
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameCASE DENTAL MEDICINE SUPPORT SERVICES, LLC.
Location Address9601 CHESTER AVE, SUITE 154Cleveland, OH 44106-1666
Mailing AddressP.o. Box 415Chesterland, OH 44026-0415 · (440) 729-3399 · Fax (440) 729-6001
Fax(216) 368-4338
Organization SubpartNo
Authorized OfficialDale A. BaurDepartment Chair · (216) 368-3102
Enumeration DateSeptember 1, 2009
Last NPPES UpdateJune 22, 20212 updates tracked since enumeration
NPPES CertifiedJune 22, 2021
✔ NPI 1104059658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
9601 CHESTER AVE, Cleveland, OH 44106

Other Identifiers 1

Medicaid301960OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Case Dental Medicine Support Services, Llc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Case Dental Medicine Support Services, LLC., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Maxillofacial Surgery
NPI 1245218544
9601 CHESTER AVE SUITE 154
Cleveland, OH 44106
(212) 368-3102
✔ PECOS✔ Accepts MedicareSame address
Dentist
NPI 1508277930
2124 CORNELL RD DENTAL SCHOOL - ORTHODONTICS
Cleveland, OH 44106
(216) 368-2449
✔ PECOS0.9 mi
Maxillofacial Surgery
NPI 1437280583
2500 METROHEALTH DR
Cleveland, OH 44109
(216) 778-7800
✔ PECOS✔ Accepts Medicare4.9 mi
Oral Surgery
NPI 1326224783
6701 ROCKSIDE RD STE 209
Independence, OH 44131
(216) 328-1234
✔ PECOS7.7 mi
Nurse Practitioner
NPI 1497145601
15526 HILLIARD RD
Lakewood, OH 44107
(440) 427-5077
✔ PECOS✔ Accepts Medicare9.8 mi
Maxillofacial Surgery
NPI 1841451697
7207 HOPKINS RD ORAL AND MAXILLOFACIAL SURGERY
Mentor, OH 44060
(440) 255-3700
✔ PECOS20 mi
Maxillofacial Surgery
NPI 1144316126
3591 RESERVE COMMONS DRIVE SUITE 300
Medina, OH 44256
(330) 721-2323
✔ PECOS27 mi
Dentist
NPI 1285732909
1500 EAST MEDICAL CENTER DR MED INN ROOM C233A
Ann Arbor, MI 48109
(734) 763-5963
✔ PECOS121 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Case Dental Medicine Support Services, LLC.'s NPI number?

The NPI number for Case Dental Medicine Support Services, LLC. is 1104059658. It was assigned to this organization in the NPPES registry on September 1, 2009.

Where is Case Dental Medicine Support Services, LLC. located?

Case Dental Medicine Support Services, LLC. is located at 9601 Chester Ave Suite 154, Cleveland, OH 44106. The listed phone number is (216) 368-3102.

What is Case Dental Medicine Support Services, LLC.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Case Dental Medicine Support Services, LLC. enrolled in Medicare?

Yes. Case Dental Medicine Support Services, LLC. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Case Dental Medicine Support Services, LLC.?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 4 Medicare specialties reassign their Medicare billing to Case Dental Medicine Support Services, LLC.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Maxillofacial Surgery (4), Dentist (2) and Nurse Practitioner (1). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Case Dental Medicine Support Services, LLC. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and DentaQuest Insurance Company Inc- OH and 1 other insurer list Case Dental Medicine Support Services, LLC. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Case Dental Medicine Support Services, LLC. was last updated on June 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.