Provider Demographics
NPI:1649511981
Name:AMERICARE DENTAL
Entity type:Organization
Organization Name:AMERICARE DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CAMERON
Authorized Official - Middle Name:
Authorized Official - Last Name:TORABI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:559-781-1122
Mailing Address - Street 1:131 E MILL AVE
Mailing Address - Street 2:
Mailing Address - City:PORTERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:93257-3831
Mailing Address - Country:US
Mailing Address - Phone:559-781-1122
Mailing Address - Fax:559-781-1161
Practice Address - Street 1:131 E MILL AVE
Practice Address - Street 2:
Practice Address - City:PORTERVILLE
Practice Address - State:CA
Practice Address - Zip Code:93257-3831
Practice Address - Country:US
Practice Address - Phone:559-781-1122
Practice Address - Fax:559-781-1161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-12
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA43294261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental