MEDICARE: OURAY DENTAL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1245163278
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OURAY DENTAL LLC

Provider Business Mailing Address
First Line	:	13907 CEDAR RD
Second Line	:
City	:	SOUTH EUCLID
State	:	OH
Zip	:	44118-3203
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13907 CEDAR RD
Second Line	:
City	:	SOUTH EUCLID
State	:	OH
Zip	:	44118-3203
Country	:	US
Telephone Number	:	216-634-9016
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	HAIDER ALMALIKI
Credential	:
Telephone Number	:	216-634-9016

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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Directions to “OURAY DENTAL LLC ” Practice Location

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