Healthcare Provider Details

I. General information

NPI: 1265341531
Provider Name (Legal Business Name): NORTH COAST SMILES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5672 RIDGE RD
PARMA OH
44129-2940
US

IV. Provider business mailing address

5672 RIDGE RD
PARMA OH
44129-2940
US

V. Phone/Fax

Practice location:
  • Phone: 440-866-0770
  • Fax: 440-866-4799
Mailing address:
  • Phone: 440-866-0770
  • Fax: 440-866-4799

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. DEBORAH ANN LIEDERBACH DDS
Title or Position: PRESIDENT OF CORPORATION
Credential: DDS
Phone: 440-886-0770