GAYLE Y. LUNDTVEDT D.M.D. P.C. NPI 1871644211

NPI Information

NPI: 1871644211
Provider Name: GAYLE Y. LUNDTVEDT, D.M.D., P.C.
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1993 FRONTAGE RD
SUITE 208
SIERRA VISTA, AZ
ZIP 85635
Phone: (520) 458-4646
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GAYLE Y. LUNDTVEDT, D.M.D., P.C. is a dental clinic center in Sierra Vista, AZ. GAYLE Y. LUNDTVEDT, D.M.D., P.C. NPI is 1871644211. The provider is registered as an organization entity type.

The provider's business location address is:

1993 FRONTAGE RD
SUITE 208
SIERRA VISTA, AZ
ZIP 85635-633
Phone: (520) 458-4646
Fax: (520) 803-0626

The provider's authorized official is Gayle Y Lundtvedt .
The authorized official title is President and has the following contact phone number (520) 458-4646.

The enumeration date for this NPI number is 1/14/2007 and was last updated on 12/6/2013.

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	D6233	ARIZONA	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: 11/14/2023

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