Provider Demographics
NPI:1720216724
Name:PAINLESS DENTAL CARE PLC
Entity Type:Organization
Organization Name:PAINLESS DENTAL CARE PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ASMA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDULRAZZAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-247-0921
Mailing Address - Street 1:PO BOX 1004
Mailing Address - Street 2:
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48480-4004
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8305 S SAGINAW ST
Practice Address - Street 2:SUITE 9
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439-1894
Practice Address - Country:US
Practice Address - Phone:810-344-9928
Practice Address - Fax:810-344-9936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-29
Last Update Date:2009-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010191581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty