Provider Demographics
NPI:1154827566
Name:ACCESS DENTAL CARE LLC
Entity Type:Organization
Organization Name:ACCESS DENTAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAADAT
Authorized Official - Middle Name:
Authorized Official - Last Name:ATTARWALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-965-2755
Mailing Address - Street 1:13 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19601-3408
Mailing Address - Country:US
Mailing Address - Phone:610-374-4150
Mailing Address - Fax:610-374-3979
Practice Address - Street 1:13 N 5TH ST
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19601
Practice Address - Country:US
Practice Address - Phone:610-374-4150
Practice Address - Fax:610-374-3979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-04
Last Update Date:2018-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty