Yazan F Karadsheh DDS LLC
Dentist, General Practice in Madison, OH. Organization (NPI-2).
NPI number1982118584
StatusActive
Last updated in NPPESMar 25, 2023
Details
- NPI
- 1982118584
- Entity type
- Organization (NPI-2)
- Legal business name
- Yazan F Karadsheh DDS LLC
- Organization subpart
- No
- Enumeration date
- Nov 20, 2017
- Certification date
- Mar 25, 2023
- Last updated
- Mar 25, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 30.024024 | OH | Yes |
Other names
- Madison Dental (Doing Business As)
Practice location
6248 N Ridge RdMadison, OH 44057-2567
Phone 440-428-1011
Mailing address
6248 N Ridge RdMadison, OH 44057-2567
Phone 440-428-1011
Authorized official
Yazan Karadsheh
Owner/Operator
4404545436
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