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

Dr. Jun Soetanto, DMD

Individual provider Dentist · NPI 1154762599

Dr. Jun Soetanto, DMD is a Dentist in Cleveland, Ohio. Licensed in Ohio. Registered with an NPI since 2013.

Licensed in
OH
In the registry since
2013
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

11201 Shaker Blvd Ste 136
Cleveland, OH 44104-3869
Phone: (216) 368-7238
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence RES 33.79 (OH)

Record details

NPI number1154762599
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 15, 2013
Last updated in NPPESJuly 15, 2013
Mailing address11201 Shaker Blvd, Suite 136, Cleveland, OH 44104-3869

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