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LEGENDS FAMILY DENTAL CENTER NPI 1164676292


NPI Information

NPI: 1164676292
Provider Name: LEGENDS FAMILY DENTAL CENTER

Doing Business As: MATTHEW E. FORD, DDS, P.C.

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
20241 N 67TH AVE
SUITE A3
GLENDALE, AZ
ZIP 85308
Phone: (623) 561-1991
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LEGENDS FAMILY DENTAL CENTER is a dental clinic center in Glendale, AZ. LEGENDS FAMILY DENTAL CENTER NPI is 1164676292. The provider is registered as an organization entity type.
The provider Is Doing Business As Matthew E. Ford, Dds, P.c..

The provider's business location address is:

20241 N 67TH AVE
SUITE A3
GLENDALE, AZ
ZIP 85308-653
Phone: (623) 561-1991

The provider's authorized official is Matthew Edward Ford .
The authorized official title is Owner/president and has the following contact phone number (623) 561-1991.

The enumeration date for this NPI number is 11/17/2008 and was last updated on 11/17/2008.


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
1261QD0000XClinic/CenterDentalD6891ARIZONAYes

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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