Provider Demographics
NPI:1811598238
Name:DENTAL PLUS MANAGEMENT, LLC
Entity Type:Organization
Organization Name:DENTAL PLUS MANAGEMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDRZEJ
Authorized Official - Middle Name:M
Authorized Official - Last Name:PIASCIK
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:307-683-0983
Mailing Address - Street 1:16 NE 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33441-3504
Mailing Address - Country:US
Mailing Address - Phone:954-481-8889
Mailing Address - Fax:
Practice Address - Street 1:16 NE 2ND AVE
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33441-3504
Practice Address - Country:US
Practice Address - Phone:954-481-8889
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-03
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental