Villaire, Matthew John
Villaire, Matthew John is an sole proprietor health care provider with primary practice located at 23880 Fairmount Blvd , Shaker Heights OH 44122-2206. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Villaire, Matthew John can be contacted via phone (216) 381-2010.Contact Information
Primary practice address
23880 Fairmount Blvd
Shaker Heights OH 44122-2206
Phone: (216) 381-2010
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 30018298 | Ohio |
Profile Details
| NPI number | 1194780502 |
|---|---|
| LBN Legal business name | Villaire, Matthew John |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Aug 21st, 2025 - about last year |
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 | 1194780502 | NPPES |
| Ohio | MEDICAID | 2055707 |
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