Provider Demographics
NPI:1861603904
Name:AMERICAN DENTAL CLINIC
Entity type:Organization
Organization Name:AMERICAN DENTAL CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WADBHAG
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:SAINI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:727-845-3000
Mailing Address - Street 1:9719 EL SOL CT
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-1253
Mailing Address - Country:US
Mailing Address - Phone:727-845-3000
Mailing Address - Fax:
Practice Address - Street 1:9719 EL SOL CT
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34655-1253
Practice Address - Country:US
Practice Address - Phone:727-845-3000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL101481223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty