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DESERT VISTA DENTAL WEST PLLC NPI 1548307424


NPI Information

NPI: 1548307424
Provider Name: DESERT VISTA DENTAL WEST PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1646 N LITCHFIELD RD
SUITE 125
GOODYEAR, AZ
ZIP 85395
Phone: (623) 935-2755
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DESERT VISTA DENTAL WEST PLLC is a general practice dentist in Goodyear, 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. DESERT VISTA DENTAL WEST PLLC NPI is 1548307424. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1646 N LITCHFIELD RD
SUITE 125
GOODYEAR, AZ
ZIP 85395-203
Phone: (623) 935-2755
Fax: (623) 935-0265

The provider's authorized official is Stacy K Cordova .
The authorized official title is Office Manager and has the following contact phone number (623) 935-2755.

The enumeration date for this NPI number is 1/31/2007 and was last updated on 10/15/2015.


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
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: 4/28/2024

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