ARIZONA DEPARTMENT OF HEALTH SERVICES NPI 1538593157

NPI Information

  • NPI: 1538593157
  • Provider Name: ARIZONA DEPARTMENT OF HEALTH SERVICES
  • Classification: Dentist - 1223D0001X
  • Specialization: Dental Public Health
  • Entity Type: Organization
  • CLIA Number: 03D0931271
  • Address: 150 N 18TH AVENUE, SUITE 320
    PHOENIX, AZ
    ZIP 85007
  • Phone: (602) 542-1866

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NPI Details

ARIZONA DEPARTMENT OF HEALTH SERVICES is a dental public health dentist in Phoenix, AZ. The provider is the science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. ARIZONA DEPARTMENT OF HEALTH SERVICES NPI is 1538593157. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

150 N 18TH AVENUE, SUITE 320
PHOENIX, AZ
ZIP 85007-205
Phone: (602) 542-1866
Fax: (602) 364-1494

The provider's authorized official is James H Humble .
The authorized official title is Chief Financial Officer and has the following contact phone number (602) 364-0679.

The CLIA number assigned to this NPI record is 03D0931271 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/30/2013 and was last updated on 8/30/2013.

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
11223D0001XDentistDental Public HealthYes

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
1703886MEDICAIDARIZONA

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: 3/30/2025

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