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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: August 16, 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. HAROLD MARS M.D.
Psychiatry & Neurology (Neurology)
3609 PARK EAST DR, SUITE 517
BEACHWOOD, OH 44122
Cuyahoga County (216) 831-6085
FREDRICK A ROSENBERG D.D.S.
Dentist (Periodontics)
3609 PARK EAST DR, 411
BEACHWOOD, OH 44122
Cuyahoga County (216) 464-8985
CLEVELAND CENTER FOR COMPREHENSIVE DENTISTRY
Dentist (General Practice)
3609 PARK EAST DR, SUITE 404
BEACHWOOD, OH 44122
Cuyahoga County (216) 591-1161
DR. THOMAS ANTHONY DIFRANCO PH.D.
Psychologist (Clinical)
3609 PARK EAST DR, SUITE 518,NORTH
BEACHWOOD, OH 44122
Cuyahoga County (216) 831-2520
DR. RAJA SHEKAR 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.IRVING M. LEWIS, PODIATRIST, INC.
Podiatrist (Foot Surgery)
3609 PARK EAST DR, #414 NORTH
BEACHWOOD, OH 44122
Cuyahoga County (216) 765-1151
DR. STEVEN N BASS M.D.
Internal Medicine (Infectious Disease)
3609 PARK EAST DR, 207
BEACHWOOD, OH 44122
Cuyahoga County (216) 360-0456

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 Western Reserve Periodontics, Inc's NPI number?

The NPI number for Western Reserve Periodontics, Inc is 1699964759. It was assigned to this organization in the NPPES registry on October 15, 2007.

Where is Western Reserve Periodontics, Inc located?

Western Reserve Periodontics, Inc is located at 3609 Park East Dr #411, Beachwood, OH 44122. The listed phone number is (216) 464-7338.

What is Western Reserve Periodontics, Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Western Reserve Periodontics, Inc was last updated on October 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.