Provider Demographics
NPI:1225642572
Name:DENTAL ASSET MANAGEMENT
Entity Type:Organization
Organization Name:DENTAL ASSET MANAGEMENT
Other - Org Name:PALM BEACH DENTAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:E
Authorized Official - Last Name:RUDNICK
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:561-625-1991
Mailing Address - Street 1:9121 N MILITARY TRL STE 209
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-5988
Mailing Address - Country:US
Mailing Address - Phone:561-694-8380
Mailing Address - Fax:561-472-8807
Practice Address - Street 1:9121 N MILITARY TRL STE 209
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-5988
Practice Address - Country:US
Practice Address - Phone:561-694-8380
Practice Address - Fax:561-472-8807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-03
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty