Provider Demographics
NPI:1093165706
Name:HYDE, DANA (DMD)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:
Last Name:HYDE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7528 PEARL RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130-6430
Mailing Address - Country:US
Mailing Address - Phone:440-888-6783
Mailing Address - Fax:440-534-1717
Practice Address - Street 1:7528 PEARL RD
Practice Address - Street 2:
Practice Address - City:MIDDLEBURG HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130
Practice Address - Country:US
Practice Address - Phone:440-888-6783
Practice Address - Fax:440-534-1717
Is Sole Proprietor?:No
Enumeration Date:2016-06-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.24813122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist