Provider Demographics
NPI:1174681696
Name:L DON SHUMAKER DDS INC
Entity Type:Organization
Organization Name:L DON SHUMAKER DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LLOYD
Authorized Official - Middle Name:DON
Authorized Official - Last Name:SHUMAKER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:216-621-1953
Mailing Address - Street 1:1801 E 12TH ST
Mailing Address - Street 2:#222
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44114-3526
Mailing Address - Country:US
Mailing Address - Phone:216-621-1953
Mailing Address - Fax:216-472-0145
Practice Address - Street 1:1801 E 12TH ST
Practice Address - Street 2:#222
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44114-3526
Practice Address - Country:US
Practice Address - Phone:216-621-1953
Practice Address - Fax:216-472-0145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300127671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty