Provider Demographics
NPI:1861266330
Name:T&M DENTAL LLC
Entity type:Organization
Organization Name:T&M DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MANEET
Authorized Official - Middle Name:
Authorized Official - Last Name:GULATI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:480-275-0884
Mailing Address - Street 1:7125 ROWLOCK ALY
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-1592
Mailing Address - Country:US
Mailing Address - Phone:480-275-0884
Mailing Address - Fax:
Practice Address - Street 1:3459 SAINT JOHNS LN STE 1
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21042-4025
Practice Address - Country:US
Practice Address - Phone:410-750-0207
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-14
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty