Provider Demographics
NPI:1487380853
Name:MITCHELL SCHER D.D.S LYNDHURST,INC
Entity type:Organization
Organization Name:MITCHELL SCHER D.D.S LYNDHURST,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MITCHELL
Authorized Official - Middle Name:D
Authorized Official - Last Name:SCHER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:440-339-4291
Mailing Address - Street 1:5576 MAYFIELD RD
Mailing Address - Street 2:
Mailing Address - City:LYNDHURST
Mailing Address - State:OH
Mailing Address - Zip Code:44124-2928
Mailing Address - Country:US
Mailing Address - Phone:440-442-2901
Mailing Address - Fax:440-442-1932
Practice Address - Street 1:5576 MAYFIELD RD
Practice Address - Street 2:
Practice Address - City:LYNDHURST
Practice Address - State:OH
Practice Address - Zip Code:44124-2928
Practice Address - Country:US
Practice Address - Phone:440-442-2901
Practice Address - Fax:440-442-1932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-28
Last Update Date:2022-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0222804Medicaid