Provider Demographics
NPI:1629280870
Name:ALL CARE DENTAL P A
Entity Type:Organization
Organization Name:ALL CARE DENTAL P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:AKFAMI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:469-916-9516
Mailing Address - Street 1:2959 S BUCKNER BLVD
Mailing Address - Street 2:SUITE 700
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75227
Mailing Address - Country:US
Mailing Address - Phone:469-916-9516
Mailing Address - Fax:469-916-9519
Practice Address - Street 1:2959 S BUCKNER BLVD
Practice Address - Street 2:SUITE 700
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75227
Practice Address - Country:US
Practice Address - Phone:469-916-9516
Practice Address - Fax:469-916-9519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX204671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty