Provider Demographics
NPI:1235797531
Name:MY CARE DENTAL LLC
Entity Type:Organization
Organization Name:MY CARE DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANUPAMA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANNAPAREDDY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:916-281-6080
Mailing Address - Street 1:523 CAMERON CV
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-4856
Mailing Address - Country:US
Mailing Address - Phone:916-281-6080
Mailing Address - Fax:
Practice Address - Street 1:2501 W PARMER LN STE 800
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78727-4225
Practice Address - Country:US
Practice Address - Phone:512-419-7711
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-31
Last Update Date:2019-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty