Provider Demographics
NPI:1568176626
Name:PARTNERS IN CARE DENTISTRY, LLC
Entity Type:Organization
Organization Name:PARTNERS IN CARE DENTISTRY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER LLC
Authorized Official - Prefix:DR
Authorized Official - First Name:NADEEM
Authorized Official - Middle Name:
Authorized Official - Last Name:DALLAL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:816-217-8732
Mailing Address - Street 1:5125 ROE BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:ROELAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66205-2358
Mailing Address - Country:US
Mailing Address - Phone:913-831-4300
Mailing Address - Fax:913-831-6999
Practice Address - Street 1:5125 ROE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:ROELAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66205-2358
Practice Address - Country:US
Practice Address - Phone:913-831-4300
Practice Address - Fax:913-831-6999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-12
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty