Provider Demographics
NPI:1720798531
Name:MIDDLETOWN DENTAL CARE, LLC
Entity Type:Organization
Organization Name:MIDDLETOWN DENTAL CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:KAL
Authorized Official - Middle Name:
Authorized Official - Last Name:LAKHANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-951-9416
Mailing Address - Street 1:423 EAST MAIN STREET
Mailing Address - Street 2:ASHLEY PLAZZA
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709
Mailing Address - Country:US
Mailing Address - Phone:302-376-9600
Mailing Address - Fax:
Practice Address - Street 1:423 EAST MAIN STREET
Practice Address - Street 2:ASHLEY PLAZZA
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709
Practice Address - Country:US
Practice Address - Phone:302-376-9600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-02
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty