Organization
JEFFREY J ORCHEN DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTY LYNN FAKADEJ (OFFICE MANAGER)
(216) 663-1967
Entity
Organization
Contact information
Practice address
5525 WARRENSVILLE CENTER ROAD, MAPLE HEIGHTS, OH 44137-3125
(216) 663-1967
(216) 663-1819
Mailing address
5525 WARRENSVILLE CENTER ROAD, MAPLE HEIGHTS, OH 44137-3125
(216) 663-1967
(216) 663-1819
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
15639
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000165484
ANTHEM BCBS
—
01
—
000472
DORAL
—
05
—
0363646
—
OH
01
—
112774
CIGNA HMO
—
01
—
476811
UNITED CONCORDIA
—
01
—
603924
COMPBENEFITS
—
01
—
J679523
BCBS MICHIGAN
MI
Enumeration date
06/24/2006
Last updated
06/25/2008
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