=====================================================
General NPI Number Information
=====================================================
NPI Number | 1255785887
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALAN B SCHLESINGER DDS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/20/2016
-----------------------------------------------------
Last Update Date | 09/02/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2205 TUSCARAWAS ST E
-----------------------------------------------------
City | CANTON
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44707-2702
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-453-7299
-----------------------------------------------------
Fax | 330-453-7282
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 916 KENMORE BLVD
-----------------------------------------------------
City | AKRON
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44314-2113
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-753-8155
-----------------------------------------------------
Fax | 330-753-5988
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MEMBER
-----------------------------------------------------
Name | DR. ALAN B SCHLESINGER
-----------------------------------------------------
Credential | DDS
-----------------------------------------------------
Telephone | 216-337-8053
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QD0000X
-----------------------------------------------------
Taxonomy Name | Dental Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 1223G0001X
-----------------------------------------------------
Taxonomy Name | General Practice Dentistry
-----------------------------------------------------
License Number | 30-20746
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------