FESTIVAL DENTAL GROUP LLP NPI 1497883128

NPI Information

FESTIVAL DENTAL GROUP, LLP is a general practice dentist in Surprise, 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. FESTIVAL DENTAL GROUP, LLP NPI is 1497883128. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Festival Dental Group.

The provider's business location address is:

13869 W. BELL ROAD
SUITE 103
SURPRISE, AZ
ZIP 85374
Phone: (623) 584-4015
Fax: (623) 584-4557

The provider's authorized official is James Mallory .
The authorized official title is Owner Doctor and has the following contact phone number (623) 584-4015.

The CLIA number assigned to this NPI record is 03D2253642 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/2/2007 and was last updated on 9/7/2010.

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:

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