Individual
DR. CHARLES WESLEY HARPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2250 WARRENSVILLE CENTER RD, UNIVERSITY HEIGHTS, OH 44118-3130
(216) 932-0433
(216) 932-1245
Mailing address
2250 WARRENSVILLE CENTER RD, UNIVERSITY HEIGHTS, OH 44118-3130
(216) 932-0433
(216) 932-1245
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17091
OH
332B00000X
Durable Medical Equipment & Medical Supplies
17091
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049336
—
OH
01
—
17091
LICENSE
OH
01
—
454993468051
CARESOURCE
OH
Enumeration date
10/12/2006
Last updated
05/20/2019
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