Provider Demographics
NPI:1780997320
Name:PRECISION DENTISTRY, INC
Entity type:Organization
Organization Name:PRECISION DENTISTRY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:SULPOVAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:2153-394-5558
Mailing Address - Street 1:179 YORK RD
Mailing Address - Street 2:STE. 2
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-4536
Mailing Address - Country:US
Mailing Address - Phone:215-394-5558
Mailing Address - Fax:215-394-5644
Practice Address - Street 1:179 YORK RD
Practice Address - Street 2:STE. 2
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-4536
Practice Address - Country:US
Practice Address - Phone:215-394-5558
Practice Address - Fax:215-394-5644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-25
Last Update Date:2010-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS035501261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental