Dental Professionals Cleveland-Nouneh, INC.
Dentist in Mentor, OH. Organization (NPI-2).
NPI number1548445570
StatusActive
Last updated in NPPESMay 12, 2009
Details
- NPI
- 1548445570
- Entity type
- Organization (NPI-2)
- Legal business name
- Dental Professionals Cleveland-Nouneh, INC.
- Organization subpart
- Yes
- Enumeration date
- Jan 9, 2008
- Last updated
- May 12, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 19758 | OH | Yes |
Other names
- Brightnow Dental (Doing Business As)
Practice location
9161 Mentor AveMentor, OH 44060-6403
Phone 440-974-9530 · Fax 440-974-9536
Mailing address
6315 Pearl Rd Ste 201Parma Heights, OH 44130-3074
Phone 440-345-9068 · Fax 440-842-4612
Authorized official
Diane L Ulichney
Credentialing Manager
4403459068
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