Provider Demographics
NPI:1700324837
Name:G & M FAMILY DENTAL P.C.
Entity Type:Organization
Organization Name:G & M FAMILY DENTAL P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VIRAJ
Authorized Official - Middle Name:VASANT
Authorized Official - Last Name:GADKAR
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:516-729-6355
Mailing Address - Street 1:160 S CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:ELMSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:10523-3521
Mailing Address - Country:US
Mailing Address - Phone:914-592-4416
Mailing Address - Fax:914-592-0908
Practice Address - Street 1:160 S CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:ELMSFORD
Practice Address - State:NY
Practice Address - Zip Code:10523-3521
Practice Address - Country:US
Practice Address - Phone:914-592-4416
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-09
Last Update Date:2019-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty