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Contact Information

CHARLES R CLEVELAND JR, DDS
107 MAIN
SEALY, TX77474
 Phone: 979-885-3355
 Fax: 979-885-0809
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for CHARLES R CLEVELAND JR · (Male)

NPI # 1477656916
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 09/07/2006
Last updated 05/06/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 10578
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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