Provider Demographics
NPI:1700349537
Name:RANI RAMNATH DDS - HOKE ROAD DENTAL CARE, INC.
Entity Type:Organization
Organization Name:RANI RAMNATH DDS - HOKE ROAD DENTAL CARE, INC.
Other - Org Name:MAD RIVER DENTAL EXCELLENCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CHAMPA
Authorized Official - Middle Name:RANI
Authorized Official - Last Name:RAMNATH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:937-832-8000
Mailing Address - Street 1:444 SCHENCK AVE
Mailing Address - Street 2:
Mailing Address - City:OAKWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:45409-2350
Mailing Address - Country:US
Mailing Address - Phone:937-832-8000
Mailing Address - Fax:937-832-8008
Practice Address - Street 1:7701 HOKE RD
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:OH
Practice Address - Zip Code:45315-9725
Practice Address - Country:US
Practice Address - Phone:937-832-8000
Practice Address - Fax:937-832-8000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-09
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty