Individual
SCOTT JEROME HUDEPOHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
812 E 185TH ST, CLEVELAND, OH 44119-2702
(216) 481-9900
Mailing address
812 E 185TH ST, CLEVELAND, OH 44119-2702
(216) 481-9900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.024171
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2013
Last updated
04/01/2022
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