# CASE DENTAL MEDICINE SUPPORT SERVICES, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104059658
- **Authorized official:** MR. DALE A. BAUR SR. DDS (DEPARTMENT CHAIR)
- **Authorized official phone:** (216) 368-3102

## Contact information

- **Practice address:** 9601 CHESTER AVE, SUITE 154, CLEVELAND, OH 44106-1666
- **Practice address phone:** (216) 368-3102
- **Practice address fax:** (216) 368-4338
- **Mailing address:** P.O. BOX 415, CHESTERLAND, OH 44026-0415
- **Mailing address phone:** (440) 729-3399
- **Mailing address fax:** (440) 729-6001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | OH | Yes |

## Other

- **Enumeration date:** 09/01/2009
- **Last updated:** 06/22/2021