Provider Demographics
NPI:1932234242
Name:AFFORDABLE FAMILY DENTAL CARE PLC
Entity Type:Organization
Organization Name:AFFORDABLE FAMILY DENTAL CARE PLC
Other - Org Name:AFFORDABLE FAMILY DENTAL CARE LAKEVIEW OFFICE
Other - Org Type:Other Name
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:J
Authorized Official - Last Name:KONTOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-979-9248
Mailing Address - Street 1:5568 BECKLEY ROAD
Mailing Address - Street 2:SUITE 6
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49015
Mailing Address - Country:US
Mailing Address - Phone:269-979-9248
Mailing Address - Fax:269-979-9798
Practice Address - Street 1:5568 BECKLEY ROAD
Practice Address - Street 2:SUITE 6
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49015
Practice Address - Country:US
Practice Address - Phone:269-979-9248
Practice Address - Fax:269-979-9798
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty