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CROFT ORTHODONTICS PLLC NPI 1225352289


NPI Information

NPI: 1225352289
Provider Name: CROFT ORTHODONTICS PLLC

Doing Business As: VISTANCIA ORTHODONTICS

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
9772 W YEARLING RD
STE A1600
PEORIA, AZ
ZIP 85383
Phone: (623) 566-0800
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CROFT ORTHODONTICS PLLC is a durable medical equipment medical supplies in Peoria, AZ. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. CROFT ORTHODONTICS PLLC NPI is 1225352289. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Vistancia Orthodontics.

The provider's business location address is:

9772 W YEARLING RD
STE A1600
PEORIA, AZ
ZIP 85383-380
Phone: (623) 566-0800
Fax: (833) 330-2854

The provider's authorized official is Devin Lee Croft .
The authorized official title is President and has the following contact phone number (623) 566-0800.

The enumeration date for this NPI number is 3/19/2010 and was last updated on 10/13/2023.


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
11223X0400XDentistOrthodontics and Dentofacial Orthopedics7616ARIZONANo
2332B00000XDurable Medical Equipment & Medical SuppliesYes

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
1162964MEDICAIDARIZONA
2518939MEDICAIDARIZONA

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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