MEDICARE: PRAPAPORN SHANTAVASINKUL

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	RES.3199	OH

General Provider Information

NPI Number	:	1821407768
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PRAPAPORN SHANTAVASINKUL

Provider Business Mailing Address
First Line	:	2223 MURRAY HILL RD
Second Line	:	APT#3
City	:	CLEVELAND
State	:	OH
Zip	:	44106-2687
Country	:	US
Telephone Number	:	216-368-8768
Fax Number	:

Provider Business Practice Location Address
First Line	:	2223 MURRAY HILL RD
Second Line	:	APT#3
City	:	CLEVELAND
State	:	OH
Zip	:	44106-2687
Country	:	US
Telephone Number	:	216-368-8768
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2014
Last Update Date	:	08/05/2014

Similar Medicare Providers

1427925379 — BRETT MORRIS
Practice Location Address:

2223 MURRAY HILL RD APT 4
CLEVELAND, OH
44106-2687

Practice Phone: 419-606-8628
Practice Fax:

1366160400 — MELISSA GOLDAL
Practice Location Address:

2750 N HWS CLEVELAND BLVD
OMAHA, NE
68116-2687

Practice Phone: 402-289-2590
Practice Fax:

1043073018 — EMILY PAPP M.S., CCC-SLP
Practice Location Address:

2750 N HWS CLEVELAND BLVD
OMAHA, NE
68116-2687

Practice Phone: 402-289-2590
Practice Fax:

1366676272 — JUDSON HOME CARE
Practice Location Address:

2181 AMBLESIDE DR
CLEVELAND, OH
44106-4645

Practice Phone: 216-791-2687
Practice Fax:

1518438084 — DR. KANYIKE IAN JOSEPH BWETE
Practice Location Address:

11100 EUCLID AVE
CLEVELAND, OH
44106-1716

Practice Phone: 216-844-6000
Practice Fax:

1548793177 — DR. ANDREW GRUENZEL MD
Practice Location Address:

5105 SOM CENTER RD #202
WILLOUGHBY, OH
44094

Practice Phone: 440-953-5760
Practice Fax: 440-953-5761

Directions to “ PRAPAPORN SHANTAVASINKUL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.