# CLEVELAND HEIGHTS DENTAL, JEFFREY ROSENTHAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cleveland Heights Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114376845
- **Authorized official:** AMY DINARDO (OFFICE MANAGER)
- **Authorized official phone:** (216) 791-5191

## Contact information

- **Practice address:** 2460 FAIRMOUNT BLVD, CLEVELAND, OH 44106-3171
- **Practice address phone:** (216) 791-5191
- **Practice address fax:** (216) 231-4933
- **Mailing address:** 2460 FAIRMOUNT BLVD, SUITE 218, CLEVELAND, OH 44106-3171
- **Mailing address phone:** (216) 791-5191
- **Mailing address fax:** (216) 231-4933

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223D0001X | Public Health Dentistry | 20624 | OH | — |
| 1223D0001X | Public Health Dentistry | 30015925 | OH | Yes |

## Other

- **Enumeration date:** 06/03/2016
- **Last updated:** 06/03/2016