Provider Demographics
NPI:1376832063
Name:YORK DENTAL LLC
Entity Type:Organization
Organization Name:YORK DENTAL LLC
Other - Org Name:YORK DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAJDI
Authorized Official - Middle Name:I
Authorized Official - Last Name:ALRABADY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, BDS, FAGD
Authorized Official - Phone:440-884-2424
Mailing Address - Street 1:6390 YORK RD
Mailing Address - Street 2:
Mailing Address - City:PARMA HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130-3028
Mailing Address - Country:US
Mailing Address - Phone:440-884-2424
Mailing Address - Fax:440-884-3828
Practice Address - Street 1:6390 YORK RD
Practice Address - Street 2:
Practice Address - City:PARMA HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130-3028
Practice Address - Country:US
Practice Address - Phone:440-884-2424
Practice Address - Fax:440-884-3828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-03
Last Update Date:2011-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH217381223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty