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BCKK 83RD AND CAMELBACK LLC NPI 1285853671


NPI Information

NPI: 1285853671
Provider Name: BCKK 83RD AND CAMELBACK LLC

Doing Business As: COYOTE RIDGE FAMILY DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
8141 W CAMELBACK RD
SUITE 3
PHOENIX, AZ
ZIP 85033
Phone: (623) 848-9100
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BCKK 83RD AND CAMELBACK LLC is a general practice dentist in Phoenix, AZ. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. BCKK 83RD AND CAMELBACK LLC NPI is 1285853671. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Coyote Ridge Family Dentistry.

The provider's business location address is:

8141 W CAMELBACK RD
SUITE 3
PHOENIX, AZ
ZIP 85033-050
Phone: (623) 848-9100
Fax: (623) 247-3917

The provider's authorized official is Ki Ngo .
The authorized official title is PRESIDENT OWNEROwner and has the following contact phone number (480) 917-0181.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 8/22/2020.


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
11223G0001XDentistGeneral PracticeYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11808900OTHERARIZONAUCCI

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

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