Provider Demographics
NPI:1245498690
Name:GLOBAL DENTAL
Entity type:Organization
Organization Name:GLOBAL DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PRIYANKA
Authorized Official - Middle Name:
Authorized Official - Last Name:KANDHARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-377-8609
Mailing Address - Street 1:11995 COUNTY ROAD 11
Mailing Address - Street 2:110
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-5100
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11995 COUNTY ROAD 11
Practice Address - Street 2:110
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-5100
Practice Address - Country:US
Practice Address - Phone:201-377-8609
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-01
Last Update Date:2008-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND11881122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty