Healthcare Provider Details

I. General information

NPI: 1194648436
Provider Name (Legal Business Name): NORDONIA DENTAL PARTNERS, JEFFREY S. ROSENTHAL, D.D.S., LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9365 OLDE 8 RD
NORTHFIELD OH
44067-2052
US

IV. Provider business mailing address

9365 OLDE 8 RD
NORTHFIELD OH
44067-2052
US

V. Phone/Fax

Practice location:
  • Phone: 330-476-7385
  • Fax:
Mailing address:
  • Phone: 330-476-7385
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: HEATHER BRUNSON
Title or Position: CREDENTIALING MANAGER
Credential:
Phone: 330-814-7482