Provider Demographics
NPI:1811873086
Name:MITCHELL SCHER DDS EASTLAKE INC
Entity type:Organization
Organization Name:MITCHELL SCHER DDS EASTLAKE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:CASE
Authorized Official - Suffix:
Authorized Official - Credentials:CDA,EFDA
Authorized Official - Phone:440-442-3262
Mailing Address - Street 1:34900 LAKE SHORE BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:EASTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44095-2099
Mailing Address - Country:US
Mailing Address - Phone:440-954-8300
Mailing Address - Fax:440-954-8302
Practice Address - Street 1:34900 LAKE SHORE BLVD STE 101
Practice Address - Street 2:
Practice Address - City:EASTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44095-2099
Practice Address - Country:US
Practice Address - Phone:440-954-8300
Practice Address - Fax:440-954-8302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-13
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental