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HERMOSA DENTAL AND ORTHODONTICS GROUP LLC NPI 1306277918


NPI Information

NPI: 1306277918
Provider Name: HERMOSA DENTAL AND ORTHODONTICS GROUP LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3415 W GLENDALE AVE
30
PHOENIX, AZ
ZIP 85051
Phone: (602) 242-0550
Get Directions

HERMOSA DENTAL AND ORTHODONTICS GROUP LLC is a general practice dentist in Phoenix, 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. HERMOSA DENTAL AND ORTHODONTICS GROUP LLC NPI is 1306277918. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3415 W GLENDALE AVE
30
PHOENIX, AZ
ZIP 85051-386
Phone: (602) 242-0550
Fax: (602) 242-4965

The provider's authorized official is Rasoul Salim .
The authorized official title is Owner and has the following contact phone number (602) 242-0550.

The enumeration date for this NPI number is 12/6/2013 and was last updated on 12/6/2013.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0300XDentistPeriodonticsD6876ARIZONANo
21223S0112XDentistOral and Maxillofacial SurgeryD8403ARIZONANo
31223X0400XDentistOrthodontics and Dentofacial OrthopedicsD8369ARIZONANo
41223G0001XDentistGeneral PracticeD5067ARIZONAYes

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: 5/5/2024

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