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LAKE POWELL DENTAL CENTER PC NPI 1407392590


NPI Profile

NPI: 1407392590
Provider Name: LAKE POWELL DENTAL CENTER, PC
Classification:Dentist - 122300000X
Entity Type: Organization
Address:
436 VISTA AVENUE
BOX 1956
PAGE, AZ
ZIP 86040
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Phone: (928) 645-2505

LAKE POWELL DENTAL CENTER, PC is a dentist in Page, AZ. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. LAKE POWELL DENTAL CENTER, PC NPI is 1407392590. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

436 VISTA AVENUE
BOX 1956
PAGE, AZ
ZIP 86040
Phone: (928) 645-2505
Fax: (928) 645-6820

The provider's authorized official is Jeffrey S Gifford .
The authorized official title is Owner and has the following contact phone number (928) 645-2505.

The enumeration date for this NPI number is 1/12/2017 and was last updated on 1/12/2017.


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
1122300000XDentist2639ARIZONAYes

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: 4/11/2021

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