Provider Demographics
NPI:1477764835
Name:SCHERMER HAYNES & ASSOCIATES DDS INC
Entity Type:Organization
Organization Name:SCHERMER HAYNES & ASSOCIATES DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:SCHERMER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:216-621-3675
Mailing Address - Street 1:510 SUPERIOR AVENUE E
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44114-1215
Mailing Address - Country:US
Mailing Address - Phone:216-621-3675
Mailing Address - Fax:216-621-9790
Practice Address - Street 1:510 SUPERIOR AVENUE E
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44114-1215
Practice Address - Country:US
Practice Address - Phone:216-621-3675
Practice Address - Fax:216-621-9790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0594316Medicaid