LEIDENHEIMER DENTAL GROUP
NPI 1639454804
Specialist in Elyria, OH

Active since October 19, 2011
42707 N RIDGE RD, ELYRIA, OH 44035(440) 324-3441 Get Directions Write a Review

NPPES record last updated: January 26, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Leidenheimer Dental Group NPPES

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

LEIDENHEIMER DENTAL GROUP (NPI 1639454804) is a healthcare organization registered as a specialist in Elyria, Ohio and active in the NPI registry since October 2011. The organization lists Jennifer Ann Sochacki, Manager, as its authorized official.

NPPES Registry Identity

NPI1639454804
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLEIDENHEIMER DENTAL GROUP
Location Address42707 N RIDGE RDElyria, OH 44035-1054
Mailing Address42707 N Ridge RdElyria, OH 44035-1054 · (440) 324-3441
Organization SubpartNo
Authorized OfficialJennifer Ann SochackiManager · (440) 324-3441
Enumeration DateOctober 19, 2011
Last NPPES UpdateJanuary 26, 2012
NPI 1639454804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
42707 N RIDGE RD, Elyria, OH 44035

Other Identifiers 4

Medicaid2825410OH
Medicaid0015325OH
Medicaid2203538OH
Medicaid2093907OH

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 11

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

Dentist
42707 N RIDGE RD
ELYRIA, OH 44035
Dentist (General Practice)
42707 N RIDGE RD
ELYRIA, OH 44035
Dentist (General Practice)
42707 N RIDGE RD
ELYRIA, OH 44035
Dentist (General Practice)
42707 N RIDGE RD
ELYRIA, OH 44035
Dentist (General Practice)
42707 N RIDGE RD
ELYRIA, OH 44035
Dentist (General Practice)
42707 N RIDGE RD
ELYRIA, OH 44035
Dentist
42707 N RIDGE RD
ELYRIA, OH 44035
Dentist (General Practice)
42707 N RIDGE RD
ELYRIA, OH 44035

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 Leidenheimer Dental Group's NPI number?

The NPI number for Leidenheimer Dental Group is 1639454804. It was assigned to this organization in the NPPES registry on October 19, 2011.

Where is Leidenheimer Dental Group located?

Leidenheimer Dental Group is located at 42707 N Ridge Rd, Elyria, OH 44035. The listed phone number is (440) 324-3441.

What is Leidenheimer Dental Group's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Leidenheimer Dental Group was last updated on January 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.