SOUTH MOUNTAIN DENTAL LLC NPI 1821751777

NPI Information

SOUTH MOUNTAIN DENTAL LLC is a general practice dentist in Tempe, 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. SOUTH MOUNTAIN DENTAL LLC NPI is 1821751777. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2233 W BASELINE RD STE 104
TEMPE, AZ
ZIP 85283-097
Phone: (602) 438-9245

The provider's authorized official is Faith Gaskins .
The authorized official title is Director Of Credentailing and has the following contact phone number (972) 869-3789.

The enumeration date for this NPI number is 10/18/2021 and was last updated on 10/18/2021.

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:

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