# ANTHONY H SPANN DDS & ASSOC (EASTGATE) INC

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

## Provider details

- **NPI number:** 1184697872
- **Authorized official:** DR. ED MECKLER DDS (CHAIRMAN OF THE BOARD)
- **Authorized official phone:** (800) 487-4867

## Contact information

- **Practice address:** 6715 EASTGATE DR, MAYFIELD HEIGHTS, OH 44124-2021
- **Practice address phone:** (440) 461-7925
- **Mailing address:** 5875 LANDERBROOK DR, STE 250, MAYFIELD HEIGHTS, OH 44124-6511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 1223E0200X | Endodontics | — | NULL | — |
| 1223E0200X | Endodontics | — | — | — |
| 1223G0001X | General Practice Dentistry | — | NULL | — |
| 1223G0001X | General Practice Dentistry | — | — | — |
| 1223P0221X | Pediatric Dentistry | — | NULL | — |
| 1223P0221X | Pediatric Dentistry | — | — | — |
| 1223P0300X | Periodontics | — | NULL | — |
| 1223P0300X | Periodontics | — | — | — |
| 1223P0700X | Prosthodontics | — | NULL | — |
| 1223P0700X | Prosthodontics | — | — | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 02/11/2006
- **Last updated:** 09/11/2025