Organization
THE METROHEALTH SYSTEM
Active
Parent organization
THE METROHEALTH SYSTEM
Other names
METROHEALTH DENTISTRY
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE METROHEALTH SYSTEM
Authorized official
MR. DERRICK HOLLINGS (EVP/CFO)
(216) 778-7800
Entity
Organization
Contact information
Practice address
3701 LORAIN AVE, CLEVELAND, OH 44113-3707
(216) 778-8046
(216) 957-4801
Mailing address
4229 PEARL RD, ATTN: LINDA GREENHILL PFS SVR RM 2-20-20, CLEVELAND, OH 44109-4218
(216) 957-2442
(216) 957-2404
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223D0001X
Public Health Dentistry
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0106X
Oral and Maxillofacial Pathology Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0008X
Oral and Maxillofacial Radiology Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
122400000X
Denturist
—
—
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
126900000X
Dental Laboratory Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2005029
—
OH
01
—
CA1240
RAIL ROAD MEDICARE
OH
Enumeration date
06/12/2006
Last updated
05/09/2024
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