Provider Demographics
NPI:1558496869
Name:AFFORDABLE FAMILY DENTAL CARE PLC
Entity Type:Organization
Organization Name:AFFORDABLE FAMILY DENTAL CARE PLC
Other - Org Name:AFFORDABLE FAMILY DENTAL CARE PENNFIELD OFFICE
Other - Org Type:Other Name
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:
Authorized Official - Last Name:KONTOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-965-2301
Mailing Address - Street 1:206 EAST ROOSEVELT AVENUE
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49017
Mailing Address - Country:US
Mailing Address - Phone:269-965-2301
Mailing Address - Fax:269-965-7989
Practice Address - Street 1:206 EAST ROOSEVELT AVENUE
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49017
Practice Address - Country:US
Practice Address - Phone:269-965-2301
Practice Address - Fax:269-965-7989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty