Provider Demographics
NPI:1477907939
Name:Q DENTAL CARE, PC
Entity Type:Organization
Organization Name:Q DENTAL CARE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADNAN
Authorized Official - Middle Name:
Authorized Official - Last Name:QAYYUM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:610-826-3656
Mailing Address - Street 1:185 DELAWARE AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:PALMERTON
Mailing Address - State:PA
Mailing Address - Zip Code:18071-1716
Mailing Address - Country:US
Mailing Address - Phone:610-826-3656
Mailing Address - Fax:610-826-3799
Practice Address - Street 1:185 DELAWARE AVE
Practice Address - Street 2:SUITE B
Practice Address - City:PALMERTON
Practice Address - State:PA
Practice Address - Zip Code:18071-1716
Practice Address - Country:US
Practice Address - Phone:610-826-3656
Practice Address - Fax:610-826-3799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-20
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty