Organization
CASE DENTAL MEDICINE SUPPORT SERVICES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALE A. BAUR SR. DDS (DEPARTMENT CHAIR)
(216) 368-3102
Entity
Organization
Contact information
Practice address
9601 CHESTER AVE, SUITE 154, CLEVELAND, OH 44106-1666
(216) 368-3102
(216) 368-4338
Mailing address
P.O. BOX 415, CHESTERLAND, OH 44026-0415
(440) 729-3399
(440) 729-6001
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301960
—
OH
Enumeration date
09/01/2009
Last updated
06/22/2021
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