Healthcare Provider Details

I. General information

NPI: 1104737048
Provider Name (Legal Business Name): BEECHCROFT DENTAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5797 BEECHCROFT RD STE E
COLUMBUS OH
43229-2758
US

IV. Provider business mailing address

7518 SAMICK ST
COLUMBUS OH
43235-6724
US

V. Phone/Fax

Practice location:
  • Phone: 440-610-9552
  • Fax:
Mailing address:
  • Phone: 440-610-9552
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. ANTHONY KESTRANEK
Title or Position: DENTIST
Credential: DMD
Phone: 440-610-9552