Provider Demographics
NPI:1275681363
Name:KATES ORTHODONTICS
Entity Type:Organization
Organization Name:KATES ORTHODONTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DALE
Authorized Official - Middle Name:A
Authorized Official - Last Name:KATES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:216-464-7700
Mailing Address - Street 1:26110 EMERY RD.
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WARRENSVILLE HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44128-5980
Mailing Address - Country:US
Mailing Address - Phone:216-464-7700
Mailing Address - Fax:216-464-7950
Practice Address - Street 1:26110 EMERY RD
Practice Address - Street 2:SUITE 100
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44128-5731
Practice Address - Country:US
Practice Address - Phone:216-464-7700
Practice Address - Fax:216-464-7950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2012-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH198301223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty