Provider Demographics
NPI:1093935553
Name:SOFTOUCH DENTAL CARE, LLC
Entity Type:Organization
Organization Name:SOFTOUCH DENTAL CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:LUNDGREEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-830-5003
Mailing Address - Street 1:1496 N HIGLEY RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234-1601
Mailing Address - Country:US
Mailing Address - Phone:480-830-5003
Mailing Address - Fax:
Practice Address - Street 1:1496 N HIGLEY RD
Practice Address - Street 2:SUITE 104
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-1601
Practice Address - Country:US
Practice Address - Phone:480-830-5003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty