Provider Demographics
NPI:1720318272
Name:A PLUS DENTAL CARE
Entity Type:Organization
Organization Name:A PLUS DENTAL CARE
Other - Org Name:JOSE E. MADERA D.D.S., P.C
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:E
Authorized Official - Last Name:MADERA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:203-576-1608
Mailing Address - Street 1:2660 MAIN ST
Mailing Address - Street 2:SUITE 217
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06606-5369
Mailing Address - Country:US
Mailing Address - Phone:203-576-1608
Mailing Address - Fax:203-333-6539
Practice Address - Street 1:2660 MAIN ST
Practice Address - Street 2:SUITE 217
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06606-5369
Practice Address - Country:US
Practice Address - Phone:203-576-1608
Practice Address - Fax:203-333-6539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-06
Last Update Date:2010-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0079301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty