Provider Demographics
NPI:1558557496
Name:SHINGLER, DONALD CHARLES
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:CHARLES
Last Name:SHINGLER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2249 ELM ST
Mailing Address - Street 2:SUITE 402
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44113-2320
Mailing Address - Country:US
Mailing Address - Phone:216-338-6700
Mailing Address - Fax:
Practice Address - Street 1:2249 ELM ST
Practice Address - Street 2:SUITE 402
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44113-2320
Practice Address - Country:US
Practice Address - Phone:216-338-6700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-24
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH19768122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist