Provider Demographics
NPI:1538237144
Name:CARROLLTON DENTAL ASSOCIATES INC
Entity type:Organization
Organization Name:CARROLLTON DENTAL ASSOCIATES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:PINCUS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-416-2330
Mailing Address - Street 1:5961 N. DALLAS PKWY
Mailing Address - Street 2:SUITE 600
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093
Mailing Address - Country:US
Mailing Address - Phone:972-416-2330
Mailing Address - Fax:469-368-2650
Practice Address - Street 1:5961 NORTH DALLAS PARKWAY
Practice Address - Street 2:SUITE 600
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093
Practice Address - Country:US
Practice Address - Phone:972-416-2330
Practice Address - Fax:469-368-2650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2015-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty