Provider Demographics
NPI:1558463661
Name:COMFORT DENT PC
Entity Type:Organization
Organization Name:COMFORT DENT PC
Other - Org Name:COMFORT DENTAL CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PARESH
Authorized Official - Middle Name:V
Authorized Official - Last Name:SHRIMANKAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:734-996-9966
Mailing Address - Street 1:760 W EISENHOWER PKWY
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103
Mailing Address - Country:US
Mailing Address - Phone:734-996-9966
Mailing Address - Fax:734-996-4974
Practice Address - Street 1:760 W EISENHOWER PKWY
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103
Practice Address - Country:US
Practice Address - Phone:734-996-9966
Practice Address - Fax:734-996-4974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI176641223G0001X
MI165491223G0001X
MI182281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty