PREMIER DENTAL CARE (NPI# 1386001006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386001006 |
| Entity Type | Organization |
| Organization Name | PREMIER DENTAL CARE |
| Practice Address |
2730 Hanover Pike Manchester MD 21102-1914 |
| Practice Telephone | 4103744882 |
| Practice Fax Number | 4103740702 |
| Mailing Telephone | 4103744882 |
| Mailing Fax Number | 4103740702 |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2016-01-26 |
| Authorized Official Name | DR. MICHAEL SOBOL (OWNER) |
| Authorized Official Telephone | 4103744882 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
13189 | MD | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104282433 | Premier Dental Care | Clinic/Center | 22701 Ann Arbor Trl, Dearborn Heights, MI 48127-2574 | 2015-12-31 |
| 1114147618 | Premier Dental Care | Dentist | 377 Main St, Watertown, MA 02472-2360 | 2007-04-26 |
| 1144360769 | Premier Dental Care | Clinic/Center | 229 N Mcdowell Blvd, Petaluma, CA 94954-2306 | 2007-02-07 |
| 1003961061 | Premier Dental Care | Dentist | 685 Citadel Dr E, Suite 302, Colorado Springs, CO 80909-5314 | 2007-01-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | PREMIER DENTAL CARE | 6920 S. East Street, Suite A, Indianapolis, IN 46227 |
| Street Address |
2730 HANOVER PIKE |
| City | MANCHESTER |
| State | MD |
| Zip Code | 21102-1914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952525438 | Srayah Michael Sobol | Dentist | 2730 Hanover Pike, Manchester, MD 21102-1914 | 2007-04-13 |
| 1548869704 | Chaviva Golombeck | Dentist | 2730 Hanover Pike, Manchester, MD 21102-1914 | 2020-10-20 |
| 1104970037 | Ira Terry Bloom | Dentist | 2730 Hanover Pike, Manchester, MD 21102-1914 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669516183 | Victor R Aybar | Podiatrist | 2963 Manchester Rd Ste D, Manchester, MD 21102 | 2007-02-17 |
| 1114924115 | Long View Nursing Home, Inc. | Skilled Nursing Facility | 3332 Main St, Pob 390, Manchester, MD 21102-0390 | 2005-07-05 |
| 1194364588 | Cynthia Ekwutife | Registered Nurse | 2504 Highcrest Ct, Manchester, MD 21102-1413 | 2020-01-02 |
| 1093058596 | Angella Vassell | Counselor | 3206 Mccurley Dr, Manchester, MD 21102-1449 | 2013-04-03 |
| 1033368337 | Michael Gale Eyer | Family Medicine | 4175 Hanover Pike, Manchester, MD 21102-1454 | 2008-09-11 |
| 1073017224 | Stephanie Lynn Vagnier | Nurse Practitioner | 4175 Hanover Pike, Manchester, MD 21102-1454 | 2018-03-22 |
| 1306252341 | Carroll Health Group, LLC | Family Medicine | 4175 Hanover Pike, Suite A, Manchester, MD 21102-1454 | 2014-07-10 |
| 1790261428 | Kayla Dolch | Behavioral Analyst | 3907 Calvins Twilight Way, Manchester, MD 21102-1512 | 2018-07-16 |
| 1801204797 | Heather Schwendeman-kincaid | Behavioral Analyst | 2901 Holland Dr, Manchester, MD 21102-1737 | 2014-07-24 |
| 1285800110 | Jacqueline G. Hancock, Crna, Pa | Nurse Anesthetist, Certified Registered | 3245 Farm Ln, Manchester, MD 21102-1780 | 2008-04-30 |
| Find all providers in zip 21102 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679137228 | Oasis Dental, P.C. | Dentist | 1525 S Willow St Unit 5, Manchester, NH 03103-3209 | 2019-04-30 |
| 1336613330 | Dental Sleep Providers, LLC | Dentist | 945 Main St Ste 303, Manchester, CT 06040-6064 | 2019-01-14 |
| 1396246708 | Kenneth M. Laro Dmd LLC | Dentist | 153 Main St Ste 11, Manchester, CT 06042-3112 | 2018-02-22 |
| 1336654862 | Manchester Dentistry & Implants Pllc | Dentist | 43 Duncan Farms, Manchester, NH 03102-2363 | 2017-12-06 |
| 1497275697 | Justin David Chung | Dentist | 483 Middle Tpke W Ste 209, Manchester, CT 06040 | 2017-06-20 |
| 1518344100 | Janiris Ruth Matos | Dentist | 8 Vinton Street, Dental Clinic, Manchester, NH 03103 | 2015-05-03 |
| 1063800399 | Manchester Dental Pllc | Dentist | 26 W Webster St, Manchester, NH 03104-2912 | 2015-01-09 |
| 1205232295 | Allan L Link Dmd & Associates LLC | Dentist | 14335 Manchester Rd, Manchester, MO 63011-4048 | 2014-11-18 |
| 1902219215 | Robert Fromuth | Dentist | 765 S Main St Ste 102, Manchester, NH 03102-5141 | 2014-06-04 |
| 1235474388 | Globus Dental Associates Manchester, PC | Dentist | 1540 Pleasant Valley Rd Ste G, Manchester, CT 06042-8760 | 2012-11-30 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 21102 |
Please comment or provide details below to improve the information on PREMIER DENTAL CARE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.