Provider Demographics
NPI:1215744776
Name:STRONG SMILES PEDIATRIC DENTISTRY JULIE RUDGERS CROFT DDS LLC
Entity type:Organization
Organization Name:STRONG SMILES PEDIATRIC DENTISTRY JULIE RUDGERS CROFT DDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:RUDGERS CROFT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:330-861-8182
Mailing Address - Street 1:2881 HASTINGS RD
Mailing Address - Street 2:
Mailing Address - City:SILVER LAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44224-3755
Mailing Address - Country:US
Mailing Address - Phone:330-861-9192
Mailing Address - Fax:
Practice Address - Street 1:13477 PROSPECT RD STE 102
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44149-3867
Practice Address - Country:US
Practice Address - Phone:440-572-5437
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-17
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty