Healthcare Provider Details

I. General information

NPI: 1801701594
Provider Name (Legal Business Name): ELEGANT ENDODONTICS - JULIA SEGAL, DMD, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6200 SOM CENTER ROAD SUITE D13
SOLON OH
44139
US

IV. Provider business mailing address

6200 SOM CENTER ROAD SUITE D13
SOLON OH
44139
US

V. Phone/Fax

Practice location:
  • Phone: 440-589-7090
  • Fax: 440-589-7091
Mailing address:
  • Phone: 440-589-7090
  • Fax: 440-589-7091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State

VIII. Authorized Official

Name: JULIA REGINA SEGAL
Title or Position: OWNER/FOUNDER
Credential: DMD
Phone: 440-589-7090