NPIMap

Comfortable Care Dental Health Professionals, PA

Organization Active NPI General Practice Dentistry · Melbourne, FL

NPI 1306118674 · NPPES record last updated Feb 2, 2012

Key facts

NPI
1306118674
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA
Practice address
2900 Lake Washington Rd Ste 2
Melbourne, FL 32935-3400
Phone
(321) 259-0866
Fax
(321) 259-3260
NPI assigned
Feb 2, 2012
Organization subpart
Yes
Parent organization (as reported)
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA

Authorized official

Name
Pam Hardiek
Title
Credentialing
Phone
(217) 540-5100

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Comfortable Care Denta Health Professionals PA (455 organizations share this tax ID)
Part of
Comfortable Care Denta Health Professionals PA

Locations

2900 Lake Washington Rd
Ste 2
Melbourne, FL 32935
Phone (321) 259-0866

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP		 1223G0001X Yes

Addresses

Primary practice location

2900 Lake Washington Rd Ste 2
Melbourne, FL 32935-3400

Mailing address

2900 Lake Washington Rd Ste 2
Melbourne, FL 32935-3400
Phone (321) 259-0866

Other names

  • Dennis P Saller, DDS Doing business as

Other providers in Melbourne, FL

All providers in Melbourne, FL · General Practice Dentistry in Florida

Sources for this page

Verify at the official NPI Registry.