# DONALD YEZERSKI DDS INC

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

## Provider details

- **NPI number:** 1659678936
- **Authorized official:** DR. DONALD YEZERSKI DDS (PRESIDENT)
- **Authorized official phone:** (440) 234-1810

## Contact information

- **Practice address:** 7379 PEARL RD., SUITE 2, MIDDLEBURG HTS., OH 44130
- **Practice address phone:** (440) 234-1810
- **Practice address fax:** (440) 234-1997
- **Mailing address:** 18660 E, BAGLEY RD., SUITE 401, MIDDLEBURG HTS., OH 44130
- **Mailing address phone:** (440) 234-1810
- **Mailing address fax:** (440) 234-1997

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 15839 | OH | Yes |

## Other

- **Enumeration date:** 02/22/2011
- **Last updated:** 02/13/2013