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OCOTILLO LAKES ENDODONTICS LLC NPI 1275005688


NPI Information

NPI: 1275005688
Provider Name: OCOTILLO LAKES ENDODONTICS, LLC
Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

CLIA Number: 03D2179179

Address:
3200 S ALMA SCHOOL RD STE 203
CHANDLER, AZ
ZIP 85248
Phone: (914) 439-3638
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OCOTILLO LAKES ENDODONTICS, LLC is an endodontics dentist in Chandler, AZ. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. OCOTILLO LAKES ENDODONTICS, LLC NPI is 1275005688. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3200 S ALMA SCHOOL RD STE 203
CHANDLER, AZ
ZIP 85248-773
Phone: (914) 439-3638

The provider's authorized official is Masood Sirjani .
The authorized official title is Endodontist, Owner and has the following contact phone number (914) 439-3638.

The CLIA number assigned to this NPI record is 03D2179179 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/24/2018 and was last updated on 12/24/2018.


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
11223E0200XDentistEndodonticsYes

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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