Provider Demographics
NPI:1629771860
Name:ABOVE AND BEYOND DENTAL , LLC
Entity Type:Organization
Organization Name:ABOVE AND BEYOND DENTAL , LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:YAZAN
Authorized Official - Middle Name:F
Authorized Official - Last Name:KARADSHEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-454-5436
Mailing Address - Street 1:14401 SNOW RD STE 103
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44142-2583
Mailing Address - Country:US
Mailing Address - Phone:440-454-5436
Mailing Address - Fax:
Practice Address - Street 1:14401 SNOW RD STE 103
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44142-2583
Practice Address - Country:US
Practice Address - Phone:216-676-4050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH30.026274OtherOHIO STATE DENTAL BOARD
OH30.024024OtherOHIO STATE DENTAL BOARD