BEACHCLIFF DENTAL ASSOCIATES OF ROCKY RIVER - A THEODOROU DMD LLC
NPI 1538772405
Dentist - General Practice in Rocky River, OH

Active since August 28, 2020
19111 DETROIT RD STE 204, ROCKY RIVER, OH 44116(440) 356-1000(440) 356-2090 Get Directions Write a Review

NPPES record last updated: August 28, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Beachcliff Dental Associates Of Rocky River - A Theodorou Dmd Llc NPPES

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

BEACHCLIFF DENTAL ASSOCIATES OF ROCKY RIVER - A THEODOROU DMD LLC (NPI 1538772405) is a healthcare organization registered as a general practice in Rocky River, Ohio and active in the NPI registry since August 2020. The organization lists Tina Chase, Insurance Specialist, as its authorized official.

NPPES Registry Identity

NPI1538772405
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBEACHCLIFF DENTAL ASSOCIATES OF ROCKY RIVER - A THEODOROU DMD LLC
Location Address19111 DETROIT RD STE 204Rocky River, OH 44116-1740
Mailing Address19111 Detroit Rd Ste 206Rocky River, OH 44116-1740 · (440) 356-1000 · Fax (440) 356-2090
Fax(440) 356-2090
Organization SubpartNo
Authorized OfficialTina ChaseInsurance Specialist · (440) 356-2089
Enumeration DateAugust 28, 2020
NPPES CertifiedAugust 28, 2020
NPI 1538772405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
19111 DETROIT RD STE 204, Rocky River, OH 44116

Other Identifiers 1

Medicaid0402338OH

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
19111 DETROIT RD STE 204
ROCKY RIVER, OH 44116

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 Beachcliff Dental Associates Of Rocky River - A Theodorou Dmd LLC's NPI number?

The NPI number for Beachcliff Dental Associates Of Rocky River - A Theodorou Dmd LLC is 1538772405. It was assigned to this organization in the NPPES registry on August 28, 2020.

Where is Beachcliff Dental Associates Of Rocky River - A Theodorou Dmd LLC located?

Beachcliff Dental Associates Of Rocky River - A Theodorou Dmd LLC is located at 19111 Detroit Rd Ste 204, Rocky River, OH 44116. The listed phone number is (440) 356-1000.

What is Beachcliff Dental Associates Of Rocky River - A Theodorou Dmd LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Beachcliff Dental Associates Of Rocky River - A Theodorou Dmd LLC was last updated on August 28, 2020. 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.