Provider Demographics
NPI:1710725577
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:614-319-3154
Mailing Address - Street 1:4168 BUCKEYE PKWY
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-8175
Mailing Address - Country:US
Mailing Address - Phone:614-991-0026
Mailing Address - Fax:
Practice Address - Street 1:4168 BUCKEYE PKWY
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-8175
Practice Address - Country:US
Practice Address - Phone:614-991-0026
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty