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VILLAGO FAMILY DENTAL LLC NPI 1568828887


NPI Information

NPI: 1568828887
Provider Name: VILLAGO FAMILY DENTAL, LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2876 N PINAL AVE
SUITE #C4
CASA GRANDE, AZ
ZIP 85122
Phone: (520) 374-2225
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VILLAGO FAMILY DENTAL, LLC is a general practice dentist in Casa Grande, 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. VILLAGO FAMILY DENTAL, LLC NPI is 1568828887. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2876 N PINAL AVE
SUITE #C4
CASA GRANDE, AZ
ZIP 85122-938
Phone: (520) 374-2225
Fax: (520) 374-2229

The provider's authorized official is John Ballard .
The authorized official title is Cfo, Cio and has the following contact phone number (480) 889-9457.

The enumeration date for this NPI number is 1/4/2016 and was last updated on 1/4/2016.


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 PracticeARIZONAYes

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: 11/14/2023

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