Provider Demographics
NPI:1477720225
Name:CARE DENTAL
Entity Type:Organization
Organization Name:CARE DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:EISENBAND
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:561-364-2273
Mailing Address - Street 1:6080 BOYNTON BEACH BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-3588
Mailing Address - Country:US
Mailing Address - Phone:561-364-2273
Mailing Address - Fax:561-364-2272
Practice Address - Street 1:6080 BOYNTON BEACH BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-3588
Practice Address - Country:US
Practice Address - Phone:561-364-2273
Practice Address - Fax:561-364-2272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-12
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
No124Q00000XDental ProvidersDental HygienistGroup - Multi-Specialty