Provider Demographics
NPI:1124368220
Name:GENTLE DENTAL CARE
Entity type:Organization
Organization Name:GENTLE DENTAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SANJAY
Authorized Official - Middle Name:V
Authorized Official - Last Name:RAO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-596-3300
Mailing Address - Street 1:4105 W SPRING CREEK PKWY
Mailing Address - Street 2:SUITE #704
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-5283
Mailing Address - Country:US
Mailing Address - Phone:972-596-3300
Mailing Address - Fax:972-596-3327
Practice Address - Street 1:4105 W SPRING CREEK PKWY
Practice Address - Street 2:704
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-5283
Practice Address - Country:US
Practice Address - Phone:972-596-3300
Practice Address - Fax:972-596-3327
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SANJAY V RAO DDS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-02-26
Last Update Date:2013-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental