Provider Demographics
NPI:1720891989
Name:GSK DENTAL CARE INC
Entity type:Organization
Organization Name:GSK DENTAL CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARANJOT
Authorized Official - Middle Name:
Authorized Official - Last Name:MANN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:909-632-3845
Mailing Address - Street 1:5 NAVILLUS RD
Mailing Address - Street 2:
Mailing Address - City:NORTH READING
Mailing Address - State:MA
Mailing Address - Zip Code:01864-1214
Mailing Address - Country:US
Mailing Address - Phone:909-632-3845
Mailing Address - Fax:
Practice Address - Street 1:160 CAMBRIDGE ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02141-1819
Practice Address - Country:US
Practice Address - Phone:909-632-3845
Practice Address - Fax:978-276-9900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty