DOUGLAS DENTAL LLC NPI 1508001660

NPI Information

  • NPI: 1508001660
  • Provider Name: DOUGLAS DENTAL, LLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 1915 E 10TH ST
    DOUGLAS, AZ
    ZIP 85607
  • Phone: (520) 459-3067

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NPI Details

DOUGLAS DENTAL, LLC is a general practice dentist in Douglas, 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. DOUGLAS DENTAL, LLC NPI is 1508001660. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1915 E 10TH ST
DOUGLAS, AZ
ZIP 85607-407
Phone: (520) 459-3067
Fax: (520) 459-0113

The provider's authorized official is Angela Maria Bejarano .
The authorized official title is Accounts Receivable and has the following contact phone number (520) 459-3067.

The enumeration date for this NPI number is 12/3/2008 and was last updated on 12/3/2008.

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

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: 11/21/2025

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