Provider Demographics
NPI:1851720924
Name:ARGUS DENTAL AND VISION, INC.
Entity Type:Organization
Organization Name:ARGUS DENTAL AND VISION, INC.
Other - Org Name:ARGUS DENTAL PLAN
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:PARSLOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-514-9562
Mailing Address - Street 1:4010 W STATE ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-1264
Mailing Address - Country:US
Mailing Address - Phone:813-514-9562
Mailing Address - Fax:813-792-3359
Practice Address - Street 1:4010 W STATE ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-1264
Practice Address - Country:US
Practice Address - Phone:813-514-9562
Practice Address - Fax:813-792-3359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-08
Last Update Date:2013-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization