Organization
DR. KATES PREMIER SMILES ORTHODONTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE A KATES D.D.S (OWNER)
(216) 691-9944
Entity
Organization
Contact information
Practice address
16909 CHAGRIN BLVD, SHAKER HEIGHTS, OH 44120-3725
(216) 691-9944
(216) 691-9949
Mailing address
16909 CHAGRIN BLVD, SHAKER HEIGHTS, OH 44120-3725
(216) 691-9944
(216) 691-9949
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
19830
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0064406
—
OH
Enumeration date
10/09/2013
Last updated
10/09/2013
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