Organization Active NPI

Elite Dental Art Ghazal DDS LLC

  • General Practice Dentistry
  • Cleveland, OH
National Provider Identifier
1174320154
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ELITE DENTAL ART GHAZAL DDS LLC
Practice address
4263 Fulton Rd Unit 21
Cleveland, OH 44144-1866
Phone
(216) 415-5504
NPI assigned
Feb 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Yazan Haddadeen, DDSNPI 1205099520
Title
Member
Phone
(216) 415-5504

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4263 Fulton Rd Unit 21
Cleveland, OH 44144-1866

Mailing address

5716 Broadway Ave
Cleveland, OH 44127-1715
Phone (216) 415-5504

Other names 1

  • Elite Dental Art Doing business as

National Provider Directory

National Provider Directory

Locations

4263 Fulton Rd
Unit 21
Cleveland, OH 44144
Phone (216) 415-5504

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740614400000",
    "number": "1174320154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5716 BROADWAY AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441271715",
            "telephone_number": "216-415-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4263 FULTON RD UNIT 21",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441441866",
            "telephone_number": "216-415-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE DENTAL ART GHAZAL DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-27",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A",
        "authorized_official_last_name": "HADDADEEN",
        "authorized_official_first_name": "YAZAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "216-415-5504",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Dental Art",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.