Provider Demographics
NPI:1649578675
Name:ALL DENTAL CARE
Entity Type:Organization
Organization Name:ALL DENTAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:Y
Authorized Official - Last Name:SHALMI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:203-359-2222
Mailing Address - Street 1:86 PROSPECT ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06901-1616
Mailing Address - Country:US
Mailing Address - Phone:203-359-2222
Mailing Address - Fax:
Practice Address - Street 1:86 PROSPECT ST
Practice Address - Street 2:SUITE 300
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06901-1616
Practice Address - Country:US
Practice Address - Phone:203-359-2222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-28
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0084271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty