DENTAMED MANAGEMENT LLC NPI 1205432796

NPI Information

NPI: 1205432796
Provider Name: DENTAMED MANAGEMENT LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
4517 W BLUEFIELD AVE
GLENDALE, AZ
ZIP 85308
Phone: (818) 577-7367
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DENTAMED MANAGEMENT LLC is a multi-specialty clinic center in Glendale, AZ. DENTAMED MANAGEMENT LLC NPI is 1205432796. The provider is registered as an organization entity type.

The provider's business location address is:

4517 W BLUEFIELD AVE
GLENDALE, AZ
ZIP 85308-513
Phone: (818) 577-7367

The provider's authorized official is Brenda Liana Macswan .
The authorized official title is Owner and has the following contact phone number (818) 577-7367.

The enumeration date for this NPI number is 12/9/2020 and was last updated on 12/15/2020.

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	261QM1300X	Clinic/Center	Multi-Specialty			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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