=====================================================
General NPI Number Information
=====================================================
NPI Number | 1265606941
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DRS. MECKLER AND ORLANSKY, LTD
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/14/2008
-----------------------------------------------------
Last Update Date | 07/08/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 26300 EUCLID AVE EUCLID MEDICAL PLAZA SUITE #926
-----------------------------------------------------
City | EUCLID
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44132-3708
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 216-797-1401
-----------------------------------------------------
Fax | 216-797-1405
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 26300 EUCLID AVE EUCLID MEDICAL PLAZA SUITE #926
-----------------------------------------------------
City | EUCLID
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44132-3708
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 216-797-1401
-----------------------------------------------------
Fax | 216-797-1405
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DENTIST
-----------------------------------------------------
Name | DR. HERBERT ARTHUR ORLANSKY
-----------------------------------------------------
Credential | DMD
-----------------------------------------------------
Telephone | 216-797-1401
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223G0001X
-----------------------------------------------------
Taxonomy Name | General Practice Dentistry
-----------------------------------------------------
License Number | 016848
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------