Healthcare Provider Details

I. General information

NPI: 1144094384
Provider Name (Legal Business Name): ORALPATH-DENTCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2023
Last Update Date: 11/08/2023
Certification Date: 11/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6865 DEERPATH RD STE 302
ELKRIDGE MD
21075-6254
US

IV. Provider business mailing address

6865 DEERPATH RD STE 302
ELKRIDGE MD
21075-6254
US

V. Phone/Fax

Practice location:
  • Phone: 410-796-3333
  • Fax: 410-796-3375
Mailing address:
  • Phone: 410-796-3333
  • Fax: 410-796-3375

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0106X
TaxonomyOral and Maxillofacial Pathology Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. RANIA YOUNIS
Title or Position: ORAL AND MAXILLOFACIAL PATHOLOGIST
Credential: BDS, MDS, PHD
Phone: 410-796-3333