MEDICARE: MITCHELL SCHER DDS EASTLAKE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1811873086
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MITCHELL SCHER DDS EASTLAKE INC

Provider Business Mailing Address
First Line	:	34900 LAKE SHORE BLVD STE 101
Second Line	:
City	:	EASTLAKE
State	:	OH
Zip	:	44095-2099
Country	:	US
Telephone Number	:	440-954-8300
Fax Number	:	440-954-8302

Provider Business Practice Location Address
First Line	:	34900 LAKE SHORE BLVD STE 101
Second Line	:
City	:	EASTLAKE
State	:	OH
Zip	:	44095-2099
Country	:	US
Telephone Number	:	440-954-8300
Fax Number	:	440-954-8302

Authorized Official
Title or Position	:	REGIONAL MANAGER
Name	:	MRS. JENNIFER ROSE CASE
Credential	:	CDA,EFDA
Telephone Number	:	440-442-3262

Provider Enumeration Date	:	08/13/2025
Last Update Date	:	08/14/2025

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