Healthcare Provider Details

I. General information

NPI: 1841371036
Provider Name (Legal Business Name): EDWARD EUGENE BEST D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10601 EAST BOLLAVARD LOUISSTOKES VAMC WADE PARK
CLEVELAND OH
44106
US

IV. Provider business mailing address

1323 RED BUSH LN
MACEDONIA OH
44056-2427
US

V. Phone/Fax

Practice location:
  • Phone: 216-791-3800
  • Fax: 216-421-3043
Mailing address:
  • Phone: 330-468-0177
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License NumberDS 017671-L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: