Provider Demographics
NPI:1033761390
Name:ABOVE & BEYOND FAMILY DENTISTRY
Entity Type:Organization
Organization Name:ABOVE & BEYOND FAMILY DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TARIK
Authorized Official - Middle Name:W
Authorized Official - Last Name:JBARAH
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:215-820-7113
Mailing Address - Street 1:250 FAME AVE STE 206
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-1587
Mailing Address - Country:US
Mailing Address - Phone:717-637-0202
Mailing Address - Fax:717-969-2658
Practice Address - Street 1:250 FAME AVE STE 206
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-1587
Practice Address - Country:US
Practice Address - Phone:717-637-0202
Practice Address - Fax:717-969-2658
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-16
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty