Provider Demographics
NPI:1871003582
Name:US DENTAL AND MEDICAL CARE LLC
Entity Type:Organization
Organization Name:US DENTAL AND MEDICAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SAFIA
Authorized Official - Middle Name:
Authorized Official - Last Name:NARVEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-783-2558
Mailing Address - Street 1:1768 LITTLE BEAR LOOP
Mailing Address - Street 2:
Mailing Address - City:LEWIS CENTER
Mailing Address - State:OH
Mailing Address - Zip Code:43035-9722
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1768 LITTLE BEAR LOOP
Practice Address - Street 2:
Practice Address - City:LEWIS CENTER
Practice Address - State:OH
Practice Address - Zip Code:43035-9722
Practice Address - Country:US
Practice Address - Phone:614-783-2558
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-07
Last Update Date:2017-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Multi-Specialty