AGAVE FAMILY DENTAL PLLC NPI 1649775842

NPI Information

NPI: 1649775842
Provider Name: AGAVE FAMILY DENTAL PLLC

Doing Business As: AGAVE FAMILY DENTAL

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
855 E WARNER RD STE 104
CHANDLER, AZ
ZIP 85225
Phone: (480) 389-2452
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AGAVE FAMILY DENTAL PLLC is a dental clinic center in Chandler, AZ. AGAVE FAMILY DENTAL PLLC NPI is 1649775842. The provider is registered as an organization entity type.
The provider Is Doing Business As Agave Family Dental.

The provider's business location address is:

855 E WARNER RD STE 104
CHANDLER, AZ
ZIP 85225-998
Phone: (480) 389-2452

The provider's authorized official is Donna Perkins .
The authorized official title is Practice Manager and has the following contact phone number (480) 830-0262.

The enumeration date for this NPI number is 3/28/2018 and was last updated on 3/28/2018.

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: 4/28/2024

NPI Synchronization or Removal

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