Provider Demographics
NPI:1417529355
Name:CARING DENTISTRY OF ROSEVILLE DDS PLLC
Entity Type:Organization
Organization Name:CARING DENTISTRY OF ROSEVILLE DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTAL CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:MERVAT
Authorized Official - Middle Name:S
Authorized Official - Last Name:FERREIRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-663-3837
Mailing Address - Street 1:27845 GRATIOT AVE
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48066-4848
Mailing Address - Country:US
Mailing Address - Phone:586-445-2990
Mailing Address - Fax:
Practice Address - Street 1:27845 GRATIOT AVE
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MI
Practice Address - Zip Code:48066-4848
Practice Address - Country:US
Practice Address - Phone:586-445-2990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-12
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty