Provider Demographics
NPI:1821118787
Name:M. J. CHRZANOWSKI, D.D.S., INC.
Entity Type:Organization
Organization Name:M. J. CHRZANOWSKI, D.D.S., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:M.
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:CHRZANOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:216-692-2010
Mailing Address - Street 1:782 E 185TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44119-2174
Mailing Address - Country:US
Mailing Address - Phone:216-692-2010
Mailing Address - Fax:216-692-0376
Practice Address - Street 1:782 E 185TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44119-2174
Practice Address - Country:US
Practice Address - Phone:216-692-2010
Practice Address - Fax:216-692-0376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-01
Last Update Date:2007-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH15408261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental