Provider Demographics
NPI:1467064998
Name:ORLOSKY DENTAL LLC
Entity Type:Organization
Organization Name:ORLOSKY DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:ORLOSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:330-797-0232
Mailing Address - Street 1:290 S CANFIELD NILES RD STE B
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44515-4090
Mailing Address - Country:US
Mailing Address - Phone:330-797-0232
Mailing Address - Fax:
Practice Address - Street 1:290 S CANFIELD NILES RD STE B
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44515-4090
Practice Address - Country:US
Practice Address - Phone:330-797-0232
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-17
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental