Provider Demographics
NPI:1952666950
Name:HEIGHTS DENTAL HOLDINGS LTD
Entity Type:Organization
Organization Name:HEIGHTS DENTAL HOLDINGS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCIAL MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:BOBBRA
Authorized Official - Last Name:WARE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-932-0433
Mailing Address - Street 1:2250 WARRENSVILLE CENTER RD
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-3130
Mailing Address - Country:US
Mailing Address - Phone:216-932-0433
Mailing Address - Fax:
Practice Address - Street 1:2250 WARRENSVILLE CENTER RD
Practice Address - Street 2:
Practice Address - City:UNIVERSITY HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44118-3130
Practice Address - Country:US
Practice Address - Phone:216-932-0433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEIGHTS DENTAL HOLDINGS LTD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-07-06
Last Update Date:2019-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH18761122300000X
332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty