WEST BELL ROAD DENTAL LLC NPI 1295476398

NPI Information

WEST BELL ROAD DENTAL LLC is a periodontics dentist in Phoenix, AZ. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. WEST BELL ROAD DENTAL LLC NPI is 1295476398. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Jason J. Augustine, D.d.s, M.s., P.c.

The provider's business location address is:

4025 W BELL RD STE 4
PHOENIX, AZ
ZIP 85053-748
Phone: (602) 978-6910

The provider's authorized official is Vicenta Reyes .
The authorized official title is Lead Of Credentialing and has the following contact phone number (972) 869-3789.

The enumeration date for this NPI number is 4/5/2022 and was last updated on 5/2/2023.

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:

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