Organization
DR. TERRY SCOTESE
Active
Other names
Dr. Terry Scotese
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY C. SCOTESE D.D.S.,M.S.D. (OWNER)
(440) 205-1222
Entity
Organization
Contact information
Practice address
9179 MENTOR AVE UNIT K, MENTOR, OH 44060-6398
(440) 205-1222
(440) 974-5474
Mailing address
9179 MENTOR AVE UNIT K, MENTOR, OH 44060-6398
(440) 205-1222
(440) 974-5474
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30-01-6248
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30-01-6248
DENTIST LICENSE
OH
Enumeration date
01/09/2007
Last updated
08/22/2020
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