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LP HAMMETT NPI 1487883310


NPI Information

NPI: 1487883310
Provider Name: LP HAMMETT

Doing Business As: MOBILE DENTISTRY OF ARIZONA

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 03D2209228

Address:
2733 N POWER RD
SUITE 102-449
MESA, AZ
ZIP 85215
Phone: (480) 313-3310
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LP HAMMETT is a general practice dentist in Mesa, 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. LP HAMMETT NPI is 1487883310. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mobile Dentistry Of Arizona.

The provider's business location address is:

2733 N POWER RD
SUITE 102-449
MESA, AZ
ZIP 85215-682
Phone: (480) 313-3310
Fax: (480) 772-4032

The provider's authorized official is Ann Benson .
The authorized official title is Owner/hygienist and has the following contact phone number (480) 313-3310.

The CLIA number assigned to this NPI record is 03D2209228 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/13/2009 and was last updated on 8/6/2009.


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
11223G0001XDentistGeneral Practice2040ARIZONAYes

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
186037990OTHERARIZONADDS

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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