Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Eastlake Oh Dentist LLC

Dental Clinic/Center in Eastlake, OH · enumerated 2026 · authorized official David Park, President/Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124942008

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)

Legal business name Eastlake Oh Dentist LLC

Practice address 34051 Vine St, Eastlake, OH, 44095

Phone (651) 444-9644

Enumeration date Aug 5, 2026

Last updated in NPPES Aug 5, 2026

Taxonomy & classification

261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name David Park

Title President/Ceo

Phone (443) 759-0910

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Eastlake Oh Dentist LLC located?

The practice location on file with NPPES is in Eastlake, OH.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-08-05. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-08-05.