Provider Demographics
NPI:1750679601
Name:KAM DENTAL ASSOCIATES INC.
Entity Type:Organization
Organization Name:KAM DENTAL ASSOCIATES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:SHING FAI
Authorized Official - Last Name:KAM
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:978-692-8133
Mailing Address - Street 1:270 LITTLETON ROAD
Mailing Address - Street 2:SUITE #18
Mailing Address - City:WESTFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01886-3524
Mailing Address - Country:US
Mailing Address - Phone:978-692-8133
Mailing Address - Fax:978-692-8148
Practice Address - Street 1:270 LITTLETON ROAD
Practice Address - Street 2:SUITE #18
Practice Address - City:WESTFORD
Practice Address - State:MA
Practice Address - Zip Code:01886-3524
Practice Address - Country:US
Practice Address - Phone:978-692-8133
Practice Address - Fax:978-692-8148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-13
Last Update Date:2011-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty