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SUN LAKES PERIODONTICS & IMPLANT DENTISTRY PLLC NPI 1962642132


NPI Profile

NPI: 1962642132
Provider Name: SUN LAKES PERIODONTICS & IMPLANT DENTISTRY, PLLC
Classification:Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
10450 E RIGGS RD
SUITE #118
SUN LAKES, AZ
ZIP 85248
Get Directions

Phone: (480) 895-0801

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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0300XDentistPeriodontics6841ARIZONAYes

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: 1/28/2021

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