Individual
JERRY V PATRIARCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
150 MENTOR AVE, PAINESVILLE, OH 44077
(440) 354-2183
(440) 354-0811
Mailing address
150 MENTOR AVE, PAINESVILLE, OH 44077
(440) 354-2183
(440) 354-0811
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30018540
OH
Other
Enumeration date
11/01/2006
Last updated
09/23/2025
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