Provider Demographics
NPI:1952598013
Name:N DANIEL RANJBAR DDS PA
Entity type:Organization
Organization Name:N DANIEL RANJBAR DDS PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:N
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:RANJBAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:785-832-1844
Mailing Address - Street 1:4828 QUAIL CREST PL
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-3838
Mailing Address - Country:US
Mailing Address - Phone:785-832-1844
Mailing Address - Fax:785-832-8734
Practice Address - Street 1:4828 QUAIL CREST PL
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049-3838
Practice Address - Country:US
Practice Address - Phone:785-832-1844
Practice Address - Fax:785-832-8734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-02
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty