Cleveland, Grant Patrick

Cleveland, Grant Patrick is an individual health care provider with primary practice located at 605 W Douglas Rd , Mishawaka IN 46545-1438. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Cleveland, Grant Patrick can be contacted via phone (574) 277-2220.

Contact Information

Primary practice address
605 W Douglas Rd Mishawaka IN 46545-1438
Fax: (574) 277-2220
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 12010983A Indiana

Profile Details

NPI number 1255523023
LBN Legal business name Cleveland, Grant Patrick
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2007
Last updated Jun 21st, 2011 - about 14 years 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.

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