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WESTERN RESERVE PERIODONTICS, INC
NPI 1699964759
Dentist - Periodontics in Beachwood, OH

Active since October 15, 2007
3609 PARK EAST DR, #411, BEACHWOOD, OH 44122(216) 464-7338 Get Directions Write a Review

NPPES record last updated: October 15, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Western Reserve Periodontics, Inc NPPES

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

WESTERN RESERVE PERIODONTICS, INC (NPI 1699964759) is a healthcare organization registered as a periodontics in Beachwood, Ohio and active in the NPI registry since October 2007. The organization lists Fredrick A Rosenberg, Secretary/treasurer, as its authorized official.

NPPES Registry Identity

NPI1699964759
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameWESTERN RESERVE PERIODONTICS, INC
Location Address3609 PARK EAST DR, #411Beachwood, OH 44122-4331
Mailing Address3609 Park East Dr, #411Beachwood, OH 44122-4331 · (216) 464-7338
Phone(216) 464-7338
Organization SubpartNo
Authorized OfficialFredrick A RosenbergSecretary/treasurer · (216) 464-8985
Enumeration DateOctober 15, 2007
✔ NPI 1699964759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

3609 PARK EAST DR, Beachwood, OH 44122
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Other Identifiers 1

Medicare PIN9286801OH

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 20

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

DR. MAHMOUD M ABOU EL SOUD M.D.
Pediatrics
3609 PARK EAST DR, SUITE #410 N
BEACHWOOD, OH 44122
Cuyahoga County (216) 378-0300
PRECISON OPEN MRI, LLC
Radiology (Diagnostic Radiology)
3609 PARK EAST DR, SUITE 101
BEACHWOOD, OH 44122
Cuyahoga County (216) 360-8300
DR. MATTHEW K SCHINABECK M.D.
Internal Medicine (Infectious Disease)
3609 PARK EAST DR, 207
BEACHWOOD, OH 44122
Cuyahoga County (216) 360-0456
DR. JOHN MARINO M.D.
Internal Medicine (Infectious Disease)
3609 PARK EAST DR, 207
BEACHWOOD, OH 44122
Cuyahoga County (216) 360-0456
DR. STEVEN N BASS M.D.
Internal Medicine (Infectious Disease)
3609 PARK EAST DR, 207
BEACHWOOD, OH 44122
Cuyahoga County (216) 360-0456
DR. CYNTHIA GUSTAFERRO M.D.
Internal Medicine (Infectious Disease)
3609 PARK EAST DR, 207
BEACHWOOD, OH 44122
Cuyahoga County (216) 360-0456
DR. HOWARD I DARVIN M.D.
Surgery (Vascular Surgery)
3609 PARK EAST DR
BEACHWOOD, OH 44122
Cuyahoga County (216) 360-9590
DR. HAROLD MARS M.D.
Psychiatry & Neurology (Neurology)
3609 PARK EAST DR, SUITE 517
BEACHWOOD, OH 44122
Cuyahoga County (216) 831-6085

Frequently Asked Questions

What is WESTERN RESERVE PERIODONTICS, INC's NPI number?

The NPI number assigned to this healthcare provider is 1699964759, enumerated as an "organization" on October 15, 2007.

Where is the provider located?

The provider is located at 3609 PARK EAST DR #411 BEACHWOOD, OH 44122 and the phone number is (216) 464-7338.

What is the provider's specialty?

Dentist with taxonomy code 1223P0300X and a focus in Periodontics.

What insurance does WESTERN RESERVE PERIODONTICS, INC accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.