Healthcare Provider Details

I. General information

NPI: 1952666950
Provider Name (Legal Business Name): HEIGHTS DENTAL HOLDINGS LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2012
Last Update Date: 05/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2250 WARRENSVILLE CENTER RD
UNIVERSITY HEIGHTS OH
44118-3130
US

IV. Provider business mailing address

2250 WARRENSVILLE CENTER RD
UNIVERSITY HEIGHTS OH
44118-3130
US

V. Phone/Fax

Practice location:
  • Phone: 216-932-0433
  • Fax:
Mailing address:
  • Phone: 216-932-0433
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number18761
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MRS. DONNA BOBBRA WARE
Title or Position: FINANCIAL MANAGER
Credential:
Phone: 216-932-0433