Provider Demographics
NPI:1942717822
Name:COMPLETE DENTAL CARE OF CALCUTTA
Entity Type:Organization
Organization Name:COMPLETE DENTAL CARE OF CALCUTTA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ARMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:LESTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-485-0309
Mailing Address - Street 1:48853 CALCUTTA SMITHFERRY RD
Mailing Address - Street 2:
Mailing Address - City:EAST LIVERPOOL
Mailing Address - State:OH
Mailing Address - Zip Code:43920-9639
Mailing Address - Country:US
Mailing Address - Phone:330-385-6216
Mailing Address - Fax:330-385-0716
Practice Address - Street 1:48853 CALCUTTA SMITHFERRY RD
Practice Address - Street 2:
Practice Address - City:EAST LIVERPOOL
Practice Address - State:OH
Practice Address - Zip Code:43920-9639
Practice Address - Country:US
Practice Address - Phone:330-385-6216
Practice Address - Fax:330-385-0716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-02
Last Update Date:2018-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty