Provider Demographics
NPI:1518753094
Name:CHESTERLAND SMILES, MATTHEW KRAMER, DMD, INC.
Entity type:Organization
Organization Name:CHESTERLAND SMILES, MATTHEW KRAMER, DMD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:GERARD
Authorized Official - Last Name:KRAMER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:440-728-6869
Mailing Address - Street 1:36400 VALLEY RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:EASTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44095-2366
Mailing Address - Country:US
Mailing Address - Phone:440-728-6869
Mailing Address - Fax:
Practice Address - Street 1:12690 OPALOCKA DR
Practice Address - Street 2:
Practice Address - City:CHESTERLAND
Practice Address - State:OH
Practice Address - Zip Code:44026-2666
Practice Address - Country:US
Practice Address - Phone:440-728-6869
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-19
Last Update Date:2025-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental