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JRFDO LLC NPI 1184159360


NPI Information

NPI: 1184159360
Provider Name: JRFDO LLC

Doing Business As: JOHNSON RANCH FAMILY DENTISTRY & ORTHODONTICS

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

Specialization: Dental

Address:
530 E HUNT HWY STE 123
SAN TAN VALLEY, AZ
ZIP 85143
Phone: (480) 987-4700
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JRFDO LLC is a dental clinic center in San Tan Valley, AZ. JRFDO LLC NPI is 1184159360. The provider is registered as an organization entity type.
The provider Is Doing Business As Johnson Ranch Family Dentistry & Orthodontics.

The provider's business location address is:

530 E HUNT HWY STE 123
SAN TAN VALLEY, AZ
ZIP 85143-583
Phone: (480) 987-4700

The provider's authorized official is Jared Pope .
The authorized official title is Ceo and has the following contact phone number (480) 332-6111.

The enumeration date for this NPI number is 4/26/2017 and was last updated on 4/26/2017.


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/CenterDentalYes

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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