Provider Demographics
NPI:1275512766
Name:SEDOR, JOHN III (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:
Last Name:SEDOR
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7043 PEARL RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44130-4973
Mailing Address - Country:US
Mailing Address - Phone:440-845-7900
Mailing Address - Fax:440-845-7969
Practice Address - Street 1:7043 PEARL RD
Practice Address - Street 2:SUITE 210
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44130-4973
Practice Address - Country:US
Practice Address - Phone:440-845-7900
Practice Address - Fax:440-845-7969
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-014374122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist