Provider Demographics
NPI:1851058077
Name:V CARE DENTAL WELLNESS GROUP, PLLC
Entity Type:Organization
Organization Name:V CARE DENTAL WELLNESS GROUP, PLLC
Other - Org Name:V CARE DENTAL WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:VIJITHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANAM
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:508-925-5562
Mailing Address - Street 1:274 WALNUT ST
Mailing Address - Street 2:UNIT-1
Mailing Address - City:SHREWSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01545-3318
Mailing Address - Country:US
Mailing Address - Phone:508-925-5562
Mailing Address - Fax:
Practice Address - Street 1:274 WALNUT ST UNIT 1
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:MA
Practice Address - Zip Code:01545-3318
Practice Address - Country:US
Practice Address - Phone:508-439-3851
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-22
Last Update Date:2022-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty