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KIDS DENTAL 2 P.C. NPI 1528392891


NPI Information

NPI: 1528392891
Provider Name: KIDS DENTAL 2 P.C.

Doing Business As: KIDS DENTAL PLACE

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3130 E BASELINE RD
#103-104
MESA, AZ
ZIP 85204
Phone: (480) 813-3423
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KIDS DENTAL 2 P.C. 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. KIDS DENTAL 2 P.C. NPI is 1528392891. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Kids Dental Place.

The provider's business location address is:

3130 E BASELINE RD
#103-104
MESA, AZ
ZIP 85204-290
Phone: (480) 813-3423
Fax: (480) 718-7387

The provider's authorized official is George Raymond Ayoub .
The authorized official title is Dentist and has the following contact phone number (602) 956-2024.

The enumeration date for this NPI number is 9/19/2009 and was last updated on 9/19/2009.


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 Practice6399ARIZONAYes

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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