Provider Demographics
NPI:1427357631
Name:DENTAL SAFARI COMPANY, LTD
Entity type:Organization
Organization Name:DENTAL SAFARI COMPANY, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MORLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:618-559-6654
Mailing Address - Street 1:P.O. BOX 2314
Mailing Address - Street 2:
Mailing Address - City:CARBONDALE
Mailing Address - State:IL
Mailing Address - Zip Code:62902
Mailing Address - Country:US
Mailing Address - Phone:618-993-8333
Mailing Address - Fax:618-993-8335
Practice Address - Street 1:7562 OLD ROUTE 13
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:IL
Practice Address - Zip Code:62959
Practice Address - Country:US
Practice Address - Phone:618-993-8333
Practice Address - Fax:618-993-8335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-28
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No122300000XDental ProvidersDentistGroup - Multi-Specialty