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

Jerome S Kustin DDS

Organization Dentist · NPI 1265414536

Jerome S Kustin DDS is a Dentist in Parma, Ohio. Licensed in Ohio. Registered with an NPI since 2005.

Licensed in
OH
In the registry since
2005
Specialties on file
2
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Practice location Address checks out

5455 Broadview Rd #100
Parma, OH 44134
Phone: (216) 741-4600
Fax: (216) 749-0960
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 12902 (OH)
General Practice Dentistry Taxonomy 1223G0001X · Licence 12902 (OH)

Record details

NPI number1265414536
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerome Kustin — Dentist/Owner · (216) 741-4600
NPI enumeratedNovember 14, 2005
Last updated in NPPESNovember 29, 2010
Mailing address5455 Broadview Rd., 100, Parma, OH 44134

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