Provider Demographics
NPI:1831431709
Name:DENTAQUEST USA INSURANCE COMPANY, INC.
Entity type:Organization
Organization Name:DENTAQUEST USA INSURANCE COMPANY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:POLLOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-886-1568
Mailing Address - Street 1:12121 CORPORATE PKWY
Mailing Address - Street 2:
Mailing Address - City:MEQUON
Mailing Address - State:WI
Mailing Address - Zip Code:53092-3332
Mailing Address - Country:US
Mailing Address - Phone:617-886-1818
Mailing Address - Fax:
Practice Address - Street 1:919 CONGRESS AVE
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78701-2102
Practice Address - Country:US
Practice Address - Phone:617-886-1818
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DENTAQUEST, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-03-19
Last Update Date:2013-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty