Provider Demographics
NPI:1730458878
Name:GLOBAL DENTAL CENTER INC
Entity Type:Organization
Organization Name:GLOBAL DENTAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RABEH
Authorized Official - Middle Name:R
Authorized Official - Last Name:MOHAMMAD-SALAMAH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:815-227-1050
Mailing Address - Street 1:3502 E STATE ST
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61108-1914
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3502 E STATE ST
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61108-1914
Practice Address - Country:US
Practice Address - Phone:815-227-1050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-19
Last Update Date:2011-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service