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DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM. NPI 1992819858


NPI Information

NPI: 1992819858
Provider Name: DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM.

Doing Business As: PIMC DENTAL SERVICES

Classification: Dentist - 122300000X
Entity Type: Organization
Address:
4212 N 16TH ST
PHOENIX, AZ
ZIP 85016
Phone: (602) 263-1200
Get Directions

DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM. is a dentist in Phoenix, AZ. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM. NPI is 1992819858. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pimc Dental Services.

The provider's business location address is:

4212 N 16TH ST
PHOENIX, AZ
ZIP 85016-319
Phone: (602) 263-1200
Fax: (602) 263-1618

The provider's authorized official is Deanna J. Dick .
The authorized official title is (ceo) Chief Executive Officer and has the following contact phone number (602) 263-1567.

The enumeration date for this NPI number is 8/18/2006 and was last updated on 6/18/2019.


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
11223D0001XDentistDental Public HealthNo
21223E0200XDentistEndodonticsNo
31223G0001XDentistGeneral PracticeNo
41223P0221XDentistPediatric DentistryNo
51223P0300XDentistPeriodonticsNo
61223P0700XDentistProsthodonticsNo
71223S0112XDentistOral and Maxillofacial SurgeryNo
81223X0400XDentistOrthodontics and Dentofacial OrthopedicsNo
9124Q00000XDental HygienistNo
10126800000XDental AssistantNo
11122300000XDentistYes

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
1092354MEDICAIDARIZONA
2022062MEDICAIDARIZONA
3P0206550OTHERARIZONABCBSAZ
4418196MEDICAIDARIZONA

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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