Haddad, Charles J
Haddad, Charles J is an individual health care provider with primary practice located at 510 Superior Ave E , Cleveland OH 44114. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Haddad, Charles J can be contacted via phone (216) 621-3675.Contact Information
Primary practice address
510 Superior Ave E
Cleveland OH 44114
Phone: (216) 621-3675
Fax: (216) 621-9790
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 30017739 | Ohio |
Profile Details
| NPI number | 1770563736 |
|---|---|
| LBN Legal business name | Haddad, Charles J |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2006 |
| Last updated | Jul 13th, 2026 - about 3 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770563736 | NPPES |
| Ohio | MEDICAID | 0560254 |
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