DENTAL AND BRACES DYSART LLC NPI 1629676903

NPI Information

NPI: 1629676903
Provider Name: DENTAL AND BRACES DYSART LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1450 N DYSART RD STE A7
AVONDALE, AZ
ZIP 85323
Phone: (623) 471-6962
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DENTAL AND BRACES DYSART LLC is a dental clinic center in Avondale, AZ. DENTAL AND BRACES DYSART LLC NPI is 1629676903. The provider is registered as an organization entity type.

The provider's business location address is:

1450 N DYSART RD STE A7
AVONDALE, AZ
ZIP 85323-534
Phone: (623) 471-6962
Fax: (602) 714-8203

The provider's authorized official is Elizabeth Ramos .
The authorized official title is Credentialing and has the following contact phone number (602) 726-3221.

The enumeration date for this NPI number is 10/9/2020 and was last updated on 10/9/2020.

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
1	261QD0000X	Clinic/Center	Dental			Yes

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: 5/5/2024

NPI Synchronization or Removal

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