Individual
DR. STANLEY A HIRSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6365 LONGRIDGE RD, MAYFIELD HEIGHTS, OH 44124-4114
(440) 646-2552
Mailing address
30701 LORAIN RD, STE A, NORTH OLMSTED, OH 44070-6325
(440) 274-5000
(440) 716-8608
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
30-014094
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000115378
ANTHEM
OH
01
—
1100582
UNITED HEALTHCARE
OH
05
—
11649450001
—
WY
Enumeration date
03/31/2006
Last updated
08/24/2016
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