Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eastlake Oh Dentist LLC

Organization Dental Clinic/Center · NPI 1124942008

Eastlake Oh Dentist LLC is a Dental Clinic/Center in Eastlake, Ohio. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

34051 Vine St
Eastlake, OH 44095-5107
Phone: (651) 444-9644
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1124942008
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Park — President/Ceo · (443) 759-0910
NPI enumeratedAugust 5, 2026
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026
Mailing address34051 Vine St, Eastlake, OH 44095-5107

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