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WEST VALLEY ENDODONTICS AND ORAL SURGERY INC NPI 1295281525


NPI Information

NPI: 1295281525
Provider Name: WEST VALLEY ENDODONTICS AND ORAL SURGERY INC

Doing Business As: WEST VALLEY ENDODONTICS AND ORAL SURGERY

Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
14122 W. MCDOWELL RD.
201
GOODYEAR, AZ
ZIP 85395
Phone: (623) 444-4521
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WEST VALLEY ENDODONTICS AND ORAL SURGERY INC is an endodontics dentist in Goodyear, AZ. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. WEST VALLEY ENDODONTICS AND ORAL SURGERY INC NPI is 1295281525. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As West Valley Endodontics And Oral Surgery.

The provider's business location address is:

14122 W. MCDOWELL RD.
201
GOODYEAR, AZ
ZIP 85395
Phone: (623) 444-4521
Fax: (623) 444-8304

The provider's authorized official is Mary H Ruiz .
The authorized official title is Regional Manager and has the following contact phone number (602) 418-1597.

The enumeration date for this NPI number is 8/28/2016 and was last updated on 8/28/2016.


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
11223E0200XDentistEndodonticsD5215ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15694444MEDICAIDARIZONA

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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