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

Western Reserve Periodontics, Inc

Organization Periodontics · NPI 1699964759

Western Reserve Periodontics, Inc is a Periodontics in Beachwood, Ohio. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3609 Park East Dr #411
Beachwood, OH 44122-4331
Phone: (216) 464-7338
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X

Record details

NPI number1699964759
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fredrick Rosenberg — Secretary/Treasurer · (216) 464-8985
NPI enumeratedOctober 15, 2007
Last updated in NPPESOctober 15, 2007
Mailing address3609 Park East Dr, 411, Beachwood, OH 44122-4331

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