Provider Demographics
NPI:1447343959
Name:ANTON J OGRINC DDS INC
Entity type:Organization
Organization Name:ANTON J OGRINC DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTON
Authorized Official - Middle Name:J
Authorized Official - Last Name:OGRINC
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:440-473-1920
Mailing Address - Street 1:6551 WILSON MILLS RD.
Mailing Address - Street 2:#103
Mailing Address - City:MAYFIELD VILLAGE
Mailing Address - State:OH
Mailing Address - Zip Code:44143
Mailing Address - Country:US
Mailing Address - Phone:440-473-1920
Mailing Address - Fax:440-473-0082
Practice Address - Street 1:6551 WILSON MILLS RD.
Practice Address - Street 2:#103
Practice Address - City:MAYFIELD VILLAGE
Practice Address - State:OH
Practice Address - Zip Code:44143
Practice Address - Country:US
Practice Address - Phone:440-473-1920
Practice Address - Fax:440-473-0082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH164661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty