Provider Demographics
NPI:1386514370
Name:DENTAL SERVICES ORGANIZATION LLC
Entity type:Organization
Organization Name:DENTAL SERVICES ORGANIZATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADM
Authorized Official - Prefix:MISS
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:MULERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-525-6521
Mailing Address - Street 1:PO BOX 71114
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-8014
Mailing Address - Country:US
Mailing Address - Phone:787-379-5662
Mailing Address - Fax:
Practice Address - Street 1:CARR 725 KM 0.5 BO. LLANOS
Practice Address - Street 2:PARQUE INDUSTRIAL L238-0-61
Practice Address - City:AIBONITO
Practice Address - State:PR
Practice Address - Zip Code:00705-3526
Practice Address - Country:US
Practice Address - Phone:787-379-5662
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DENTAL SERVICES ORGANIZATION LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-11-06
Last Update Date:2025-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No1223E0200XDental ProvidersDentistEndodonticsGroup - Multi-Specialty
No1223P0700XDental ProvidersDentistProsthodonticsGroup - Multi-Specialty
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental