Provider Demographics
NPI:1871227538
Name:KIND DENTAL,LLC
Entity type:Organization
Organization Name:KIND DENTAL,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MALLIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUPANI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:214-505-7629
Mailing Address - Street 1:5436 MEADOWCROFT WAY
Mailing Address - Street 2:
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29708-0145
Mailing Address - Country:US
Mailing Address - Phone:215-505-7629
Mailing Address - Fax:
Practice Address - Street 1:305 HERLONG AVE STE 305
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-3269
Practice Address - Country:US
Practice Address - Phone:215-505-7629
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-10
Last Update Date:2022-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
1710362108OtherNPI