Provider Demographics
NPI:1538426374
Name:COMFORT CARE DENTISTRY MANAGEMENT LLC
Entity type:Organization
Organization Name:COMFORT CARE DENTISTRY MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTANT
Authorized Official - Prefix:
Authorized Official - First Name:MARCIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHURKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-434-2911
Mailing Address - Street 1:1711 ORBIT WAY
Mailing Address - Street 2:STE 2
Mailing Address - City:MINDEN
Mailing Address - State:NV
Mailing Address - Zip Code:89423-4114
Mailing Address - Country:US
Mailing Address - Phone:775-434-2909
Mailing Address - Fax:
Practice Address - Street 1:1711 ORBIT WAY
Practice Address - Street 2:STE 2
Practice Address - City:MINDEN
Practice Address - State:NV
Practice Address - Zip Code:89423-4114
Practice Address - Country:US
Practice Address - Phone:775-434-2909
Practice Address - Fax:775-552-9801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-18
Last Update Date:2012-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV44261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty