Provider Demographics
NPI:1881972255
Name:KARADSHEH, YAZAN F (DDS)
Entity type:Individual
Prefix:DR
First Name:YAZAN
Middle Name:F
Last Name:KARADSHEH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6248 NORTH RIDGE ROAD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:OH
Mailing Address - Zip Code:44057-3719
Mailing Address - Country:US
Mailing Address - Phone:440-454-5436
Mailing Address - Fax:
Practice Address - Street 1:6248 NORTH RIDGE ROAD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:OH
Practice Address - Zip Code:44057-4405
Practice Address - Country:US
Practice Address - Phone:440-454-5436
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-02
Last Update Date:2023-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.024024122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist