Provider Demographics
NPI:1982264149
Name:NOW CARE DENTAL PC
Entity Type:Organization
Organization Name:NOW CARE DENTAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIMES-GARY
Authorized Official - Suffix:
Authorized Official - Credentials:LDA
Authorized Official - Phone:651-842-9072
Mailing Address - Street 1:1905 PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55122-2883
Mailing Address - Country:US
Mailing Address - Phone:651-842-9072
Mailing Address - Fax:651-686-7800
Practice Address - Street 1:1905 PLAZA DR
Practice Address - Street 2:
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55122-2883
Practice Address - Country:US
Practice Address - Phone:651-842-9072
Practice Address - Fax:651-686-7800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-19
Last Update Date:2019-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental