Provider Demographics
NPI:1447467543
Name:DENTAL CARE ASSOCIATES PC
Entity type:Organization
Organization Name:DENTAL CARE ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:W
Authorized Official - Last Name:MULLARKEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:520-293-2997
Mailing Address - Street 1:282 E RIVER RD
Mailing Address - Street 2:SUITE #100
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704
Mailing Address - Country:US
Mailing Address - Phone:520-293-2997
Mailing Address - Fax:520-293-3910
Practice Address - Street 1:282 E RIVER RD
Practice Address - Street 2:SUITE #100
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704
Practice Address - Country:US
Practice Address - Phone:520-293-2997
Practice Address - Fax:520-293-3910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ07376505QOtherTAX ID