INTRA DENTAL INC. NPI 1609081652

NPI Information

INTRA DENTAL, INC. is a general practice dentist in Phoenix, 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. INTRA DENTAL, INC. NPI is 1609081652. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Cornerstone Dental Care.

The provider's business location address is:

6135 N 35TH AVE
SUITE 135
PHOENIX, AZ
ZIP 85017-950
Phone: (602) 973-0325
Fax: (602) 973-9704

The provider's authorized official is Roy D Shim .
The authorized official title is President and has the following contact phone number (310) 227-0944.

The enumeration date for this NPI number is 5/13/2007 and was last updated on 8/6/2007.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.