Provider Demographics
NPI:1427592336
Name:COMMUNITY DENTAL CARE P.C.
Entity Type:Organization
Organization Name:COMMUNITY DENTAL CARE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:SABRI
Authorized Official - Middle Name:K
Authorized Official - Last Name:AKASH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:586-296-8505
Mailing Address - Street 1:15275 E 13 MILE RD
Mailing Address - Street 2:
Mailing Address - City:FRASER
Mailing Address - State:MI
Mailing Address - Zip Code:48026-2711
Mailing Address - Country:US
Mailing Address - Phone:586-296-8505
Mailing Address - Fax:586-296-8520
Practice Address - Street 1:15275 E 13 MILE RD
Practice Address - Street 2:
Practice Address - City:FRASER
Practice Address - State:MI
Practice Address - Zip Code:48026-2711
Practice Address - Country:US
Practice Address - Phone:586-296-8505
Practice Address - Fax:586-296-8520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-12
Last Update Date:2016-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901015246122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty