Provider Demographics
NPI:1952745283
Name:KAPADIA DENTAL CARE
Entity Type:Organization
Organization Name:KAPADIA DENTAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HUZEFA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAPADIA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:313-882-6635
Mailing Address - Street 1:17200 E WARREN AVE
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48224-2498
Mailing Address - Country:US
Mailing Address - Phone:313-882-6635
Mailing Address - Fax:313-882-7120
Practice Address - Street 1:17200 E WARREN AVE
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48224-2498
Practice Address - Country:US
Practice Address - Phone:313-882-6635
Practice Address - Fax:313-882-7120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-17
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010184811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty