Provider Demographics
NPI:1467991521
Name:PRECISION DENTAL PC
Entity Type:Organization
Organization Name:PRECISION DENTAL PC
Other - Org Name:CARE FAMILY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SOWMYA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMAKRISHNA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:269-929-6324
Mailing Address - Street 1:3078 FIELDSTONE DR
Mailing Address - Street 2:
Mailing Address - City:DEXTER
Mailing Address - State:MI
Mailing Address - Zip Code:48130-8628
Mailing Address - Country:US
Mailing Address - Phone:269-929-6324
Mailing Address - Fax:
Practice Address - Street 1:6360 JACKSON RD
Practice Address - Street 2:SUITE C
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-9597
Practice Address - Country:US
Practice Address - Phone:269-929-6324
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-21
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901020408122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty