Provider Demographics
NPI:1538712443
Name:VAKA DENTAL CARE , LLC
Entity type:Organization
Organization Name:VAKA DENTAL CARE , LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MAJLINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:VAKA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:978-223-3787
Mailing Address - Street 1:86 ELLIOTT ST
Mailing Address - Street 2:
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-3439
Mailing Address - Country:US
Mailing Address - Phone:978-335-3851
Mailing Address - Fax:
Practice Address - Street 1:21 STOREY AVE
Practice Address - Street 2:
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-1848
Practice Address - Country:US
Practice Address - Phone:978-223-3787
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-19
Last Update Date:2019-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental