# CHAGRIN HIGHLANDS DENTAL GROUP, DOUGLAS E. DESATNIK, D.D.S., LLC

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

## Provider details

- **NPI number:** 1144687880
- **Authorized official:** DR. DOUGLAS DESATNIK DDS (PRESIDENT)
- **Authorized official phone:** (216) 464-9800

## Contact information

- **Practice address:** 22901 MILLCREEK BLVD, SUITE \#140, BEACHWOOD, OH 44122-5728
- **Practice address phone:** (216) 464-9800
- **Practice address fax:** (216) 464-9833
- **Mailing address:** 22901 MILLCREEK BLVD, SUITE \#140, BEACHWOOD, OH 44122-5728
- **Mailing address phone:** (216) 464-9800
- **Mailing address fax:** (216) 464-9833

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 30023233 | OH | Yes |

## Other

- **Enumeration date:** 01/26/2016
- **Last updated:** 01/26/2016