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EAST VALLEY DENTAL ANESTHESIA PLLC NPI 1518366111


NPI Information

NPI: 1518366111
Provider Name: EAST VALLEY DENTAL ANESTHESIA, PLLC
Classification: Dentist - 1223D0004X
Entity Type: Organization

Specialization: Dentist Anesthesiologist

Address:
67 S HIGLEY RD
SUITE 103
GILBERT, AZ
ZIP 85296
Phone: (480) 518-5502
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EAST VALLEY DENTAL ANESTHESIA, PLLC is a dentist anesthesiologist dentist in Gilbert, AZ. The provider is a dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. EAST VALLEY DENTAL ANESTHESIA, PLLC NPI is 1518366111. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

67 S HIGLEY RD
SUITE 103
GILBERT, AZ
ZIP 85296-166
Phone: (480) 518-5502
Fax: (480) 219-9234

The provider's authorized official is Marvin Todd Christensen .
The authorized official title is Owner/operator and has the following contact phone number (480) 518-5502.

The enumeration date for this NPI number is 8/19/2014 and was last updated on 8/19/2014.


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
11223D0004XDentistDentist Anesthesiologist5604ARIZONAYes

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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