Provider Demographics
NPI:1164728150
Name:DENTAL CARE AFFILIATES, P.C.
Entity Type:Organization
Organization Name:DENTAL CARE AFFILIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:CALVO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:516-354-9200
Mailing Address - Street 1:9 NEW HYDE PARK RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN SQUARE
Mailing Address - State:NY
Mailing Address - Zip Code:11010-3609
Mailing Address - Country:US
Mailing Address - Phone:516-354-9200
Mailing Address - Fax:516-354-4561
Practice Address - Street 1:9 NEW HYDE PARK RD
Practice Address - Street 2:
Practice Address - City:FRANKLIN SQUARE
Practice Address - State:NY
Practice Address - Zip Code:11010-3609
Practice Address - Country:US
Practice Address - Phone:516-354-9200
Practice Address - Fax:516-354-4561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-08
Last Update Date:2011-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY036168302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization