Provider Demographics
NPI:1558425751
Name:ADELMAN, LAURA (DMD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:
Last Name:ADELMAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9945 VAIL DR
Mailing Address - Street 2:SUITE 5
Mailing Address - City:TWINSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44087-4900
Mailing Address - Country:US
Mailing Address - Phone:330-425-1885
Mailing Address - Fax:330-425-1589
Practice Address - Street 1:9945 VAIL DR
Practice Address - Street 2:SUITE 5
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087-4900
Practice Address - Country:US
Practice Address - Phone:330-425-1885
Practice Address - Fax:330-425-1589
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300198551223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry