Organization
PAINESVILLE DENTAL GROUP
Active
Parent organization
PAINESVILLE DENTAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
PAINESVILLE DENTAL GROUP
Authorized official
JERRY V PATRIARCA DDS (OFFICER/MEMBER DDS)
(440) 354-2183
Entity
Organization
Contact information
Practice address
150 MENTOR AVE, PAINESVILLE, OH 44077
(440) 354-2183
(440) 286-2476
Mailing address
150 MENTOR AVE, PAINESVILLE, OH 44077
(440) 354-2183
(440) 286-2476
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/01/2006
Last updated
09/23/2025
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