Provider Demographics
NPI:1639661150
Name:TRUECARE DENTISTRY PLLC
Entity Type:Organization
Organization Name:TRUECARE DENTISTRY PLLC
Other - Org Name:TRUECARE DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER- OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAJIV
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEKHADIYA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:248-275-3292
Mailing Address - Street 1:7300 SHOESTRING DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-3075
Mailing Address - Country:US
Mailing Address - Phone:248-275-3292
Mailing Address - Fax:
Practice Address - Street 1:1080 E CARTWRIGHT RD STE 180
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-6621
Practice Address - Country:US
Practice Address - Phone:248-275-3288
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-31
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty