Provider Demographics
NPI:1598737660
Name:PROTECTION PLUS DENTAL CENTER INC
Entity Type:Organization
Organization Name:PROTECTION PLUS DENTAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SEWA
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:DHANJAL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:623-932-0539
Mailing Address - Street 1:1430 N CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:AVONDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85323-1305
Mailing Address - Country:US
Mailing Address - Phone:623-932-0539
Mailing Address - Fax:623-932-5494
Practice Address - Street 1:1430 N CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:AVONDALE
Practice Address - State:AZ
Practice Address - Zip Code:85323-1305
Practice Address - Country:US
Practice Address - Phone:623-932-0539
Practice Address - Fax:623-932-5494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2478261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental