Provider Demographics
NPI:1558636936
Name:SOFT CARE DENTAL GROUP
Entity type:Organization
Organization Name:SOFT CARE DENTAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNERS
Authorized Official - Prefix:DR
Authorized Official - First Name:PARNIKA/RITU
Authorized Official - Middle Name:
Authorized Official - Last Name:BHAGAT/DUREJA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:908-561-5555
Mailing Address - Street 1:108 TOWN CENTER DR
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:NJ
Mailing Address - Zip Code:07059-5692
Mailing Address - Country:US
Mailing Address - Phone:908-561-5555
Mailing Address - Fax:
Practice Address - Street 1:108 TOWN CENTER DR
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:NJ
Practice Address - Zip Code:07059-5692
Practice Address - Country:US
Practice Address - Phone:908-561-5555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-18
Last Update Date:2012-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22414001223G0001X
NJ23071001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty