SUN LAKES PERIODONTICS & IMPLANT DENTISTRY PLLC NPI 1962642132

NPI Information

SUN LAKES PERIODONTICS & IMPLANT DENTISTRY, PLLC is a periodontics dentist in Sun Lakes, 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. SUN LAKES PERIODONTICS & IMPLANT DENTISTRY, PLLC NPI is 1962642132. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10450 E RIGGS RD
SUITE #118
SUN LAKES, AZ
ZIP 85248-758
Phone: (480) 895-0801
Fax: (480) 895-5927

The provider's authorized official is Trever L Siu .
The authorized official title is Dentist/owner and has the following contact phone number (480) 895-0801.

The enumeration date for this NPI number is 3/2/2009 and was last updated on 3/2/2009.

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:

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