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DANTAL DENTAL CORPORATION NPI 1134568637


NPI Information

NPI: 1134568637
Provider Name: DANTAL DENTAL CORPORATION
Classification: Advanced Practice Dental Therapist - 125K00000X
Entity Type: Organization
Address:
500 W SOUTHERN AVE
#1-3
MESA, AZ
ZIP 85210
Phone: (480) 664-1449
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DANTAL DENTAL CORPORATION is an advanced practice dental therapist in Mesa, AZ. The provider is an Advanced Practice Dental Therapist is:
(1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or
(2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability for clinical judgment across the dental health care continuum.

The individual has been authorized by the relevant state board or a tribal entity to provide services under the remote supervision of a dentist. The functions of the advanced practice dental therapist vary based on the needs of the dentist, the educational preparation of the advanced practice dental therapist and state dental practice acts and regulations. DANTAL DENTAL CORPORATION NPI is 1134568637. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

500 W SOUTHERN AVE
#1-3
MESA, AZ
ZIP 85210-016
Phone: (480) 664-1449

The provider's authorized official is Dan Moshe Gafni .
The authorized official title is President and has the following contact phone number (480) 664-1449.

The enumeration date for this NPI number is 6/18/2013 and was last updated on 6/18/2013.


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
1125K00000XAdvanced Practice Dental Therapist8139ARIZONAYes

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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