Provider Demographics
NPI:1639487168
Name:A-1 DENTAL CARE,INC.
Entity Type:Organization
Organization Name:A-1 DENTAL CARE,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, A-1 DENTAL CARE
Authorized Official - Prefix:DR
Authorized Official - First Name:RASHMIKANT
Authorized Official - Middle Name:R
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:BDS, MDSC
Authorized Official - Phone:904-276-5143
Mailing Address - Street 1:584 HUNTERS GROVE CT
Mailing Address - Street 2:
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32073-5704
Mailing Address - Country:US
Mailing Address - Phone:904-276-2737
Mailing Address - Fax:904-276-2737
Practice Address - Street 1:168 BLANDING BLVD
Practice Address - Street 2:SUITE 4
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32073-3371
Practice Address - Country:US
Practice Address - Phone:904-276-5143
Practice Address - Fax:904-276-2737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-17
Last Update Date:2010-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 108671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty