AZ DENTIST LLC NPI 1255118055

NPI Information

NPI: 1255118055
Provider Name: AZ DENTIST LLC

Doing Business As: MODERN FAMILY DENTISTRY

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
7200 W BELL RD STE C3
GLENDALE, AZ
ZIP 85308
Phone: (162) 397-9190
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AZ DENTIST LLC is a multi-specialty clinic center in Glendale, AZ. AZ DENTIST LLC NPI is 1255118055. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Modern Family Dentistry.

The provider's business location address is:

7200 W BELL RD STE C3
GLENDALE, AZ
ZIP 85308-530
Phone: (162) 397-9190

The provider's authorized official is Janne Marjorie Lynch .
The authorized official title is Owner and has the following contact phone number (480) 279-3700.

The enumeration date for this NPI number is 9/13/2023 and was last updated on 9/21/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207L00000X	Anesthesiology		No
2	208VP0014X	Pain Medicine	Interventional Pain Medicine	No
3	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: 5/5/2024

NPI Synchronization or Removal

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