Healthcare Provider Details

I. General information

NPI: 1538460340
Provider Name (Legal Business Name): JOSEPH H. BELHOBEK DDS, MS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/10/2010
Last Update Date: 11/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14362 NORTH CHESHIRE STREET
BURTON OH
44021
US

IV. Provider business mailing address

P.O. BOX 421
BURTON OH
44021
US

V. Phone/Fax

Practice location:
  • Phone: 440-834-4148
  • Fax:
Mailing address:
  • Phone: 440-834-4148
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number14046
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: