Individual
DR. MATTHEW JOHN VILLAIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
23880 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH 44122-2206
(216) 381-2010
Mailing address
23880 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH 44122-2206
(216) 381-2010
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30018298
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2055707
—
OH
Enumeration date
04/19/2006
Last updated
08/21/2025
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