Provider Demographics
NPI:1144094384
Name:ORALPATH-DENTCARE LLC
Entity type:Organization
Organization Name:ORALPATH-DENTCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORAL AND MAXILLOFACIAL PATHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RANIA
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNIS
Authorized Official - Suffix:
Authorized Official - Credentials:BDS, MDS, PHD
Authorized Official - Phone:410-796-3333
Mailing Address - Street 1:6865 DEERPATH RD STE 302
Mailing Address - Street 2:
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-6254
Mailing Address - Country:US
Mailing Address - Phone:410-796-3333
Mailing Address - Fax:410-796-3375
Practice Address - Street 1:6865 DEERPATH RD STE 302
Practice Address - Street 2:
Practice Address - City:ELKRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21075-6254
Practice Address - Country:US
Practice Address - Phone:410-796-3333
Practice Address - Fax:410-796-3375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-08
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial PathologyGroup - Single Specialty