Provider Demographics
NPI:1518749811
Name:OURAY DENTAL LLC
Entity type:Organization
Organization Name:OURAY DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HAIDER
Authorized Official - Middle Name:
Authorized Official - Last Name:ALMALIKI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:440-265-0627
Mailing Address - Street 1:5261 NIKE STATION WAY
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-7449
Mailing Address - Country:US
Mailing Address - Phone:614-319-3154
Mailing Address - Fax:
Practice Address - Street 1:5261 NIKE STATION WAY
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-7449
Practice Address - Country:US
Practice Address - Phone:614-319-3154
Practice Address - Fax:614-319-3128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-20
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty