NORTH PEORIA DENTISTRY LLC NPI 1750911194

NPI Information

NPI: 1750911194
Provider Name: NORTH PEORIA DENTISTRY LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
8325 W. HAPPY VALLEY RD
SUITE 100
PEORIA, AZ
ZIP 85383
Phone: (623) 210-3416
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NORTH PEORIA DENTISTRY LLC is a dental clinic center in Peoria, AZ. NORTH PEORIA DENTISTRY LLC NPI is 1750911194. The provider is registered as an organization entity type.

The provider's business location address is:

8325 W. HAPPY VALLEY RD
SUITE 100
PEORIA, AZ
ZIP 85383-538
Phone: (623) 210-3416

The provider's authorized official is Laura Vaughn .
The authorized official title is Owner and has the following contact phone number (623) 210-3416.

The enumeration date for this NPI number is 1/24/2020 and was last updated on 1/24/2020.

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

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NA	OTHER		NA

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: 11/14/2023

NPI Synchronization or Removal

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