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

Ohio Dental Professionals, Delisle, PC

Organization General Practice Dentistry · NPI 1255049110

Ohio Dental Professionals, Delisle, PC is a General Practice Dentistry in Lakewood, Ohio. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13616 Madison Ave
Lakewood, OH 44107-4709
Phone: (216) 221-1438
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1255049110
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationOhio Dental Professionals, Delisle, PC
Authorized official Courtney Monteith — Credentialing Coordinator · (217) 540-8306
Other names Peak Dental Of Lakewood
NPI enumeratedNovember 9, 2022
Last updated in NPPESMarch 23, 2023
Certification dateMarch 23, 2023
Mailing address13616 Madison Ave, Lakewood, OH 44107-4709

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