Individual
DR. JEROME LIVINGSTON FAIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3690 ORANGE PL, SUITE 515, BEACHWOOD, OH 44122-4464
(216) 464-2448
(216) 292-2532
Mailing address
3690 ORANGE PLACE DRIVE, SUITE 515, BEACHWOOD, OH 44122
(216) 464-2448
(216) 292-2532
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16742
OH
Other
Enumeration date
08/07/2006
Last updated
07/08/2007
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