Provider Demographics
NPI:1366954430
Name:DRS. AGRONIN & SWEENEY - ORTHODONTICS, LLC
Entity type:Organization
Organization Name:DRS. AGRONIN & SWEENEY - ORTHODONTICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:SWEENEY
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:440-979-9500
Mailing Address - Street 1:25165 COUNTRY CLUB BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH OLMSTED
Mailing Address - State:OH
Mailing Address - Zip Code:44070-5312
Mailing Address - Country:US
Mailing Address - Phone:440-979-9500
Mailing Address - Fax:440-979-9407
Practice Address - Street 1:25165 COUNTRY CLUB BLVD
Practice Address - Street 2:
Practice Address - City:NORTH OLMSTED
Practice Address - State:OH
Practice Address - Zip Code:44070-5312
Practice Address - Country:US
Practice Address - Phone:440-979-9500
Practice Address - Fax:440-979-9407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-30
Last Update Date:2017-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH211701223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty