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LAKE PLEASANT FAMILY DENTAL NPI 1912079997


NPI Information

NPI: 1912079997
Provider Name: LAKE PLEASANT FAMILY DENTAL

Former Legal Business Name: AARON A. JOHNSON, D.D.S., P.C.

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
20542 N LAKE PLEASANT RD
PEORIA, AZ
ZIP 85382
Phone: (623) 435-0080
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LAKE PLEASANT FAMILY DENTAL is a general practice dentist in Peoria, 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. LAKE PLEASANT FAMILY DENTAL NPI is 1912079997. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Aaron A. Johnson, D.d.s., P.c..

The provider's business location address is:

20542 N LAKE PLEASANT RD
PEORIA, AZ
ZIP 85382-749
Phone: (623) 435-0080
Fax: (623) 435-0091

The provider's authorized official is Aaron Johnson .
The authorized official title is Doctor and has the following contact phone number (623) 435-0080.

The enumeration date for this NPI number is 11/14/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeD4643ARIZONAYes

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

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