OrganizationActive
Case Dental Medicine Support Services, LLC.
NPI 1104059658 · Oral and Maxillofacial Surgery (Dentist) · Cleveland, OH
Provider details
- NPI number
- 1104059658
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Authorized official
- Dale Baur, Department Chair
Practice location
9601 Chester Ave
Suite 154
Cleveland, OH 44106-1666
Phone: (216) 368-3102
Fax: (216) 368-4338
Mailing address
P.o. Box 415
Chesterland, OH 44026-0415
Registry dates
- Enumerated
- 2009-09-01
- Last updated
- 2021-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.