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TEPHROCACTUS LLC NPI 1033508031


NPI Information

NPI: 1033508031
Provider Name: TEPHROCACTUS LLC

Doing Business As: GILBERT ROAD DENTAL CARE

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2158 N GILBERT RD
MESA, AZ
ZIP 85203
Phone: (480) 649-7200
Get Directions

TEPHROCACTUS LLC is a general practice dentist in Mesa, AZ. The provider is 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. TEPHROCACTUS LLC NPI is 1033508031. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Gilbert Road Dental Care.

The provider's business location address is:

2158 N GILBERT RD
MESA, AZ
ZIP 85203-109
Phone: (480) 649-7200

The provider's authorized official is Jasen Stiger .
The authorized official title is Corporate Secretary and has the following contact phone number (602) 225-0595.

The enumeration date for this NPI number is 1/13/2015 and was last updated on 4/9/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeF000539ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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