MEDICARE: SCHERMER HAYNES & ASSOCIATES DDS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477764835
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCHERMER HAYNES & ASSOCIATES DDS INC

Provider Business Mailing Address
First Line	:	510 SUPERIOR AVENUE E
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44114-1215
Country	:	US
Telephone Number	:	216-621-3675
Fax Number	:	216-621-9790

Provider Business Practice Location Address
First Line	:	510 SUPERIOR AVENUE E
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44114-1215
Country	:	US
Telephone Number	:	216-621-3675
Fax Number	:	216-621-9790

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. BRUCE ALAN SCHERMER
Credential	:	DDS
Telephone Number	:	216-621-3675

Provider Enumeration Date	:	05/25/2007
Last Update Date	:	08/22/2020

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