Provider Demographics
NPI:1023766730
Name:ART DENTAL CENTER
Entity type:Organization
Organization Name:ART DENTAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANCA
Authorized Official - Middle Name:
Authorized Official - Last Name:NASTASA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:248-842-3623
Mailing Address - Street 1:23023 ORCHARD LAKE RD
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:48336-3209
Mailing Address - Country:US
Mailing Address - Phone:248-476-4619
Mailing Address - Fax:
Practice Address - Street 1:23023 ORCHARD LAKE RD
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:MI
Practice Address - Zip Code:48336-3209
Practice Address - Country:US
Practice Address - Phone:248-476-4619
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-11
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental