Provider Demographics
NPI:1275963191
Name:TUSCANY IV, LLC
Entity Type:Organization
Organization Name:TUSCANY IV, LLC
Other - Org Name:COMFORT DENTAL OF PELHAM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:FARRUGIA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:850-505-0500
Mailing Address - Street 1:102 HILLTOP BUSINESS DR
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35124-1310
Mailing Address - Country:US
Mailing Address - Phone:850-450-8935
Mailing Address - Fax:
Practice Address - Street 1:102 HILLTOP BUSINESS DR
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:AL
Practice Address - Zip Code:35124-1310
Practice Address - Country:US
Practice Address - Phone:850-450-8935
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-13
Last Update Date:2013-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5952122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty