BANNER -- UNIVERSITY DENTAL SERVICES LLC NPI 1184094906

NPI Information

NPI: 1184094906
Provider Name: BANNER -- UNIVERSITY DENTAL SERVICES LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

CLIA Number: 03D2301322

Address:
1111 E MCDOWELL RD
PHOENIX, AZ
ZIP 85006
Phone: (602) 839-2000
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BANNER -- UNIVERSITY DENTAL SERVICES LLC is a dental clinic center in Phoenix, AZ. BANNER -- UNIVERSITY DENTAL SERVICES LLC NPI is 1184094906. The provider is registered as an organization entity type.

The provider's business location address is:

1111 E MCDOWELL RD
PHOENIX, AZ
ZIP 85006-612
Phone: (602) 839-2000

The provider's authorized official is Dennis Dahlen .
The authorized official title is Sr Vp Finance and has the following contact phone number (602) 747-4000.

The CLIA number assigned to this NPI record is 03D2301322 - other - nuclear medicine with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/6/2015 and was last updated on 10/6/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

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

NPI Synchronization or Removal

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