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

Mercurious Mina

Individual provider Periodontics · NPI 1336767847

Mercurious Mina is a Periodontics in Cleveland, Ohio. Licensed in Ohio. Registered with an NPI since 2020.

Licensed in
OH
In the registry since
2020

Practice location Address checks out

9601 Chester Ave
Cleveland, OH 44106-1666
Phone: (216) 368-3200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence RES.004174 (OH)

Record details

NPI number1336767847
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 10, 2020
Last updated in NPPESJuly 10, 2020
Certification dateJuly 10, 2020
Mailing address35 Severance Cir, Cleveland Heights, OH 44118-1523

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