Provider Demographics
NPI:1184848673
Name:MAJDI OUBEID DDS INC
Entity Type:Organization
Organization Name:MAJDI OUBEID DDS INC
Other - Org Name:OUBEIDS SOUTHPOINTE DENTAL PRACTICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST DDS
Authorized Official - Prefix:DR
Authorized Official - First Name:MAJDI
Authorized Official - Middle Name:
Authorized Official - Last Name:OUBEID
Authorized Official - Suffix:
Authorized Official - Credentials:DENTIST DDS
Authorized Official - Phone:951-242-3328
Mailing Address - Street 1:24021 ALESSANDRO BLVD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92553
Mailing Address - Country:US
Mailing Address - Phone:951-242-3328
Mailing Address - Fax:951-243-6712
Practice Address - Street 1:24021 ALESSANDRO
Practice Address - Street 2:#120
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92553
Practice Address - Country:US
Practice Address - Phone:951-242-3328
Practice Address - Fax:951-243-6712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41768261QD0000X
261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1552420OtherUNITED CONCORDIA
CAG9288001Medicaid