Provider Demographics
NPI:1437029923
Name:AK DENTAL CARE LLC
Entity type:Organization
Organization Name:AK DENTAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:KHALIL
Authorized Official - Middle Name:
Authorized Official - Last Name:ABUKHALIL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:440-835-3109
Mailing Address - Street 1:28899 CENTER RIDGE RD STE 300
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-8200
Mailing Address - Country:US
Mailing Address - Phone:440-835-3109
Mailing Address - Fax:440-835-3180
Practice Address - Street 1:28899 CENTER RIDGE RD STE 300
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-8200
Practice Address - Country:US
Practice Address - Phone:440-835-3109
Practice Address - Fax:440-835-3180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-10
Last Update Date:2025-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty