Provider Demographics
NPI:1104389063
Name:MICHEL OBAID LLC
Entity Type:Organization
Organization Name:MICHEL OBAID LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:OBAID
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:484-226-0076
Mailing Address - Street 1:1131 W EMAUS AVE
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-6621
Mailing Address - Country:US
Mailing Address - Phone:484-274-6880
Mailing Address - Fax:484-221-8792
Practice Address - Street 1:1131 W EMAUS AVE
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6621
Practice Address - Country:US
Practice Address - Phone:484-274-6880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-08
Last Update Date:2019-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
PADS039234OtherLICENSE