Provider Demographics
NPI:1821808627
Name:DCT DENTAL LLC
Entity type:Organization
Organization Name:DCT DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:CARL
Authorized Official - Last Name:TRUBSCHENCK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:916-860-9323
Mailing Address - Street 1:1862 WARWICK AVE
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02889-2261
Mailing Address - Country:US
Mailing Address - Phone:401-739-5700
Mailing Address - Fax:
Practice Address - Street 1:1862 WARWICK AVE
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02889-2261
Practice Address - Country:US
Practice Address - Phone:401-739-5700
Practice Address - Fax:401-732-5999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental