Individual
DR. JEFFREY JULES ORCHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5525 WARRENSVILLE CENTER RD, MAPLE HEIGHTS, OH 44137-3125
(216) 663-1967
Mailing address
122 MEADOW LN, SOLON, OH 44139-1444
(216) 663-1967
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
15639
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000165484
ANTHEM
OH
01
—
000472
CARESOURCE
OH
05
—
0363646
—
OH
01
—
112774
CIGNA
OH
01
—
341373074028
DORAL
OH
01
—
476811
UNITED CONCORDIA
OH
01
—
J679523
BC BS MI
OH
Enumeration date
11/11/2006
Last updated
07/08/2007
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