Provider Demographics
NPI:1043864119
Name:ARYA DENTAL CARE PLLC
Entity type:Organization
Organization Name:ARYA DENTAL CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAMMI
Authorized Official - Middle Name:V
Authorized Official - Last Name:TANDEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:734-620-2587
Mailing Address - Street 1:4925 CHAMPLAIN CIR
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48323-3529
Mailing Address - Country:US
Mailing Address - Phone:734-620-2587
Mailing Address - Fax:
Practice Address - Street 1:30785 FORD RD
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:MI
Practice Address - Zip Code:48135-1804
Practice Address - Country:US
Practice Address - Phone:734-762-4852
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-27
Last Update Date:2019-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental