Provider Demographics
NPI:1417982059
Name:DENTAL CARE INC
Entity Type:Organization
Organization Name:DENTAL CARE INC
Other - Org Name:J E TERNBACH DDS
Other - Org Type:Other Name
Authorized Official - Title/Position:OFFICE MGR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MERLINDA
Authorized Official - Middle Name:S
Authorized Official - Last Name:SPEAMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-723-1111
Mailing Address - Street 1:417 W CENTRAL AVENUE
Mailing Address - Street 2:SUITE A
Mailing Address - City:COOLIDGE
Mailing Address - State:AZ
Mailing Address - Zip Code:85228
Mailing Address - Country:US
Mailing Address - Phone:520-723-1111
Mailing Address - Fax:520-723-4186
Practice Address - Street 1:417 W CENTRAL AVENUE
Practice Address - Street 2:SUITE A
Practice Address - City:COOLIDGE
Practice Address - State:AZ
Practice Address - Zip Code:85228
Practice Address - Country:US
Practice Address - Phone:520-723-1111
Practice Address - Fax:520-723-4186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAZ2021122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty