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PAGE DENTAL CENTER NPI 1164689139


NPI Profile

NPI: 1164689139
Provider Name: PAGE DENTAL CENTER
Classification:Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
112 SIXTH AVENUE
PAGE, AZ
ZIP 86040
Get Directions

Phone: (928) 645-3206

PAGE DENTAL CENTER is a general practice dentist in Page, 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. PAGE DENTAL CENTER NPI is 1164689139. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

112 SIXTH AVENUE
PAGE, AZ
ZIP 86040-956
Phone: (928) 645-3206
Fax: (928) 645-9139

The provider's authorized official is Jeffrey S Gifford .
The authorized official title is President and has the following contact phone number (928) 645-3206.

The enumeration date for this NPI number is 5/19/2008 and was last updated on 12/17/2008.


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
11223G0001XDentistGeneral Practice3440ARIZONANo
21223G0001XDentistGeneral Practice5411ARIZONANo
31223G0001XDentistGeneral Practice7427ARIZONAYes

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
1283845MEDICAIDARIZONA
2084004MEDICAIDARIZONA
3086274MEDICAIDARIZONA

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: 4/11/2021

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