Provider Demographics
NPI:1730275926
Name:CHARLES M. PAP, D.D.S., INC.
Entity type:Organization
Organization Name:CHARLES M. PAP, D.D.S., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:M
Authorized Official - Last Name:PAP
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:440-255-1117
Mailing Address - Street 1:8300 TYLER BLVD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MENTOR
Mailing Address - State:OH
Mailing Address - Zip Code:44060-4217
Mailing Address - Country:US
Mailing Address - Phone:440-255-1117
Mailing Address - Fax:
Practice Address - Street 1:8300 TYLER BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:MENTOR
Practice Address - State:OH
Practice Address - Zip Code:44060-4217
Practice Address - Country:US
Practice Address - Phone:440-255-1114
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH174001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty