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ALAMEDA CROSSING DENTAL GROUP LLP NPI 1063576072


NPI Information

NPI: 1063576072
Provider Name: ALAMEDA CROSSING DENTAL GROUP, LLP

Doing Business As: ALAMEDA CROSSING DENTAL GROUP

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 03D2253658

Address:
1619 N DYSART RD
STE. 105
AVONDALE, AZ
ZIP 85392
Phone: (623) 935-6278
Get Directions

ALAMEDA CROSSING DENTAL GROUP, LLP is a general practice dentist in Avondale, 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. ALAMEDA CROSSING DENTAL GROUP, LLP NPI is 1063576072. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Alameda Crossing Dental Group.

The provider's business location address is:

1619 N DYSART RD
STE. 105
AVONDALE, AZ
ZIP 85392-200
Phone: (623) 935-6278
Fax: (623) 935-6285

The provider's authorized official is Brian D. Buehler .
The authorized official title is Owner Dds and has the following contact phone number (623) 935-6278.

The CLIA number assigned to this NPI record is 03D2253658 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/21/2006 and was last updated on 4/12/2010.


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 PracticeYes

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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