Provider Demographics
NPI:1396865903
Name:SCHECHTER, TED I (DDS)
Entity Type:Individual
Prefix:DR
First Name:TED
Middle Name:I
Last Name:SCHECHTER
Suffix:
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 1:5031 MAYFIELD RD STE 105
Mailing Address - Street 2:
Mailing Address - City:LYNDHURST
Mailing Address - State:OH
Mailing Address - Zip Code:44124-2606
Mailing Address - Country:US
Mailing Address - Phone:216-382-3040
Mailing Address - Fax:216-382-3038
Practice Address - Street 1:5031 MAYFIELD RD STE 105
Practice Address - Street 2:
Practice Address - City:LYNDHURST
Practice Address - State:OH
Practice Address - Zip Code:44124-2606
Practice Address - Country:US
Practice Address - Phone:216-382-3040
Practice Address - Fax:216-382-3038
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2012-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH15209122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist