Provider Demographics
NPI:1750734794
Name:WILLIAM A CLEVELAND DMD & ASSOCIATES
Entity type:Organization
Organization Name:WILLIAM A CLEVELAND DMD & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:A
Authorized Official - Last Name:CLEVELAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-688-4023
Mailing Address - Street 1:427 E LANCASTER AVE
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-4220
Mailing Address - Country:US
Mailing Address - Phone:610-688-4023
Mailing Address - Fax:610-688-2970
Practice Address - Street 1:427 E LANCASTER AVE
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:PA
Practice Address - Zip Code:19087-4220
Practice Address - Country:US
Practice Address - Phone:610-688-4023
Practice Address - Fax:610-688-2970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-14
Last Update Date:2016-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty