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JUSTIN CHURCH DMD PLC NPI 1174824619


NPI Information

NPI: 1174824619
Provider Name: JUSTIN CHURCH DMD PLC

Doing Business As: YUMA DENTAL

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

Specialization: Dental

Address:
2540 S 4TH AVE
YUMA, AZ
ZIP 85364
Phone: (928) 344-5700
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JUSTIN CHURCH DMD PLC is a dental clinic center in Yuma, AZ. JUSTIN CHURCH DMD PLC NPI is 1174824619. The provider is registered as an organization entity type.
The provider Is Doing Business As Yuma Dental.

The provider's business location address is:

2540 S 4TH AVE
YUMA, AZ
ZIP 85364-286
Phone: (928) 344-5700
Fax: (928) 344-3645

The provider's authorized official is Justin Church .
The authorized official title is Dentist and has the following contact phone number (480) 206-0139.

The enumeration date for this NPI number is 11/16/2010 and was last updated on 11/16/2010.


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
1261QD0000XClinic/CenterDental7892ARIZONAYes

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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