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Contact Information

SEDON DENTAL PROVIDERS (MEDINA), INC.
5014 GRANDE SHOPS AVE
MEDINA, OH44256
 Phone: 330-764-9290
 Fax: 216-584-1079
 Website:
Indicates primary specialty

NPI Profile & details for SEDON DENTAL PROVIDERS (MEDINA), INC.

NPI # 1104019587
LBN Legal business name SEDON DENTAL PROVIDERS (MEDINA), INC.
Authorized official RACHEL NITTINGER - (MANAGER CREDENTIALING)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/20/2007
Last updated 10/16/2017 - About 9 years ago
Identifiers
OH License # 30.017399
OH License # 30.023258
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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