Detrich, Elliott Daniel

Detrich, Elliott Daniel is an individual health care provider with primary practice located at 7528 Pearl Rd , Middleburg Heights OH 44130-6430. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Detrich, Elliott Daniel can be contacted via phone (440) 888-6783.

Contact Information

Primary practice address
7528 Pearl Rd Middleburg Heights OH 44130-6430
Phone: (440) 888-6783
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Dentist 122300000X 30.027603 Ohio

Profile Details

NPI number 1831944529
LBN Legal business name Detrich, Elliott Daniel
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2024
Last updated Jun 5th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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