NPI 1265869150 · live from the CMS NPI Registry
Dr. Kates Premier Smiles Orthodontics INC
Dentist, Orthodontics and Dentofacial Orthopedics in Shaker Heights, OH. National Provider Identifier 1265869150, active.
NPI record
| NPI | 1265869150 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 16909 Chagrin Blvd, Shaker Heights, OH 44120 |
| Practice phone | 216-691-9944 |
| Enumerated | October 9, 2013 |
| Last updated | October 9, 2013 |
| Authorized official | Dale Kates, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 19830 (OH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.