Provider Demographics
NPI:1033743992
Name:THE DENTAL SPOT, LLC
Entity Type:Organization
Organization Name:THE DENTAL SPOT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BRADFORD
Authorized Official - Middle Name:
Authorized Official - Last Name:PLASHA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:484-854-6900
Mailing Address - Street 1:222 E MAIN ST STE 1C
Mailing Address - Street 2:
Mailing Address - City:COLLEGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19426-2650
Mailing Address - Country:US
Mailing Address - Phone:484-854-6900
Mailing Address - Fax:
Practice Address - Street 1:222 E MAIN ST # 1C
Practice Address - Street 2:
Practice Address - City:COLLEGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:19426-2650
Practice Address - Country:US
Practice Address - Phone:609-364-7873
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-28
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental