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PEDIATRIC DENTISTRY OF YUMA INC. NPI 1447399233


NPI Information

NPI: 1447399233
Provider Name: PEDIATRIC DENTISTRY OF YUMA, INC.
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
2359 S 22ND DR
SUITE 1
YUMA, AZ
ZIP 85364
Phone: (928) 329-9565
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PEDIATRIC DENTISTRY OF YUMA, INC. is a pediatric dentistry dentist in Yuma, AZ. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. PEDIATRIC DENTISTRY OF YUMA, INC. NPI is 1447399233. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2359 S 22ND DR
SUITE 1
YUMA, AZ
ZIP 85364-871
Phone: (928) 329-9565
Fax: (928) 783-0669

The provider's authorized official is Brian L. Cullen .
The authorized official title is President and has the following contact phone number (928) 329-9565.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 8/22/2020.


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
11223P0221XDentistPediatric DentistryAZ4111ARIZONAYes

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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