Provider Demographics
NPI:1679950083
Name:ONSITE DENTAL INC
Entity Type:Organization
Organization Name:ONSITE DENTAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NATIONAL DIRECTOR TALENT AQUISITION
Authorized Official - Prefix:
Authorized Official - First Name:SUZIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-588-9094
Mailing Address - Street 1:241 18TH ST S
Mailing Address - Street 2:SUITE #403
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22202-3405
Mailing Address - Country:US
Mailing Address - Phone:714-588-9094
Mailing Address - Fax:
Practice Address - Street 1:241 18TH ST S
Practice Address - Street 2:SUITE #403
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22202-3405
Practice Address - Country:US
Practice Address - Phone:714-588-9094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-05
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No122300000XDental ProvidersDentistGroup - Multi-Specialty