Healthcare Provider Details

I. General information

NPI: 1902650526
Provider Name (Legal Business Name): HAIYUE CUI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2024
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34302 EUCLID AVE
WILLOUGHBY OH
44094-3334
US

IV. Provider business mailing address

7950 MENTOR AVE APT E4
MENTOR OH
44060-5647
US

V. Phone/Fax

Practice location:
  • Phone: 440-946-4241
  • Fax:
Mailing address:
  • Phone: 347-827-6335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number30.028589
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: