NPI 1154458271 · live from the CMS NPI Registry
Jorge Clemente Casellas, DDS
Dentist, Orthodontics and Dentofacial Orthopedics in Fairlawn, OH. National Provider Identifier 1154458271, active.
NPI record
| NPI | 1154458271 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 2890 Sand Run Pkwy, Fairlawn, OH 44333 |
| Practice phone | 330-836-0135 |
| Enumerated | February 27, 2007 |
| Last updated | November 30, 2011 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 30-022145 (OH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.