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SPECIALISTS DENTAL IMPLANT CENTER NPI 1922101567


NPI Information

NPI: 1922101567
Provider Name: SPECIALISTS DENTAL IMPLANT CENTER
Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
2905 W WARNER RD
SUITE 15
CHANDLER, AZ
ZIP 85224
Phone: (480) 831-8100
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SPECIALISTS DENTAL IMPLANT CENTER is a periodontics dentist in Chandler, AZ. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. SPECIALISTS DENTAL IMPLANT CENTER NPI is 1922101567. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2905 W WARNER RD
SUITE 15
CHANDLER, AZ
ZIP 85224
Phone: (480) 831-8100
Fax: (480) 831-6054

The provider's authorized official is Lewis Paul Robinson .
The authorized official title is Dentist Periodontist Owner Partner and has the following contact phone number (480) 831-8100.

The enumeration date for this NPI number is 9/7/2006 and was last updated on 4/20/2008.


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
11223P0300XDentistPeriodontics5099ARIZONANo
21223P0300XDentistPeriodontics1733ARIZONANo
31223P0300XDentistPeriodontics4475ARIZONAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERTAX ID

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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