Organization
JEROME L. FAIST DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEROME L. FAIST (PRESIDENT)
(216) 464-2448
Entity
Organization
Contact information
Practice address
3690 ORANGE PL STE 515, BEACHWOOD, OH 44122-4466
(216) 464-2448
Mailing address
3690 ORANGE PL STE 515, BEACHWOOD, OH 44122-4466
(216) 464-2448
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/26/2009
Last updated
02/26/2009
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