Healthcare Provider Details

I. General information

NPI: 1275220832
Provider Name (Legal Business Name): PEDRO HENRIQUE DA SILVA ASCHAR
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2023
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4071 LEE RD STE 200
CLEVELAND OH
44128-2100
US

IV. Provider business mailing address

4309 S RIO GRANDE AVE
ORLANDO FL
32839-1101
US

V. Phone/Fax

Practice location:
  • Phone: 216-368-7238
  • Fax:
Mailing address:
  • Phone: 407-683-9822
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number30809
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number000715881
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberAPP-000715881
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: