Provider Demographics
NPI:1720121932
Name:SCHIRRIPA, DENNIS JAMES (DDS)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:JAMES
Last Name:SCHIRRIPA
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 1:751 BEECHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-1603
Mailing Address - Country:US
Mailing Address - Phone:330-722-8929
Mailing Address - Fax:
Practice Address - Street 1:3637 MEDINA RD
Practice Address - Street 2:SUITE 145
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-9654
Practice Address - Country:US
Practice Address - Phone:330-723-8062
Practice Address - Fax:330-725-4580
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH145921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice