ALONSO BREACH NPI 1710871033

NPI Information

  • NPI: 1710871033
  • Provider Name: ALONSO BREACH
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 2906 W SOUTH MOUNTAIN RD
    LAVEEN, AZ
    ZIP 85339
  • Phone: (619) 831-0437

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NPI Details

Alonso Breach is a general practice dentist in Laveen, 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. Alonso Breach NPI is 1710871033. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2906 W SOUTH MOUNTAIN RD
LAVEEN, AZ
ZIP 85339-804
Phone: (619) 831-0437
Fax: (619) 785-3404

The enumeration date for this NPI number is 6/3/2025 and was last updated on 6/3/2025.

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
11223G0001XDentistGeneral Practice10929112Foreign CountryYes

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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