Provider Demographics
NPI:1225239403
Name:ELITE DENTAL CARE INC
Entity Type:Organization
Organization Name:ELITE DENTAL CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GURJEET
Authorized Official - Middle Name:KAUR
Authorized Official - Last Name:RANU
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:609-520-8300
Mailing Address - Street 1:PO BOX 392
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08561-0392
Mailing Address - Country:US
Mailing Address - Phone:609-520-8300
Mailing Address - Fax:
Practice Address - Street 1:838 ALEXANDER RD
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-6304
Practice Address - Country:US
Practice Address - Phone:609-520-8300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0896001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty