Provider Demographics
NPI:1538453535
Name:QUALITY DENTAL CARE
Entity type:Organization
Organization Name:QUALITY DENTAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:CIANCIOLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-342-6300
Mailing Address - Street 1:4207 DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:ELSMERE
Mailing Address - State:KY
Mailing Address - Zip Code:41018-1817
Mailing Address - Country:US
Mailing Address - Phone:859-342-6300
Mailing Address - Fax:859-342-6300
Practice Address - Street 1:4207 DIXIE HWY
Practice Address - Street 2:
Practice Address - City:ELSMERE
Practice Address - State:KY
Practice Address - Zip Code:41018-1817
Practice Address - Country:US
Practice Address - Phone:859-342-6300
Practice Address - Fax:859-342-6300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-07
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty