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DOUBLE JDLLC NPI 1982821617


NPI Information

NPI: 1982821617
Provider Name: DOUBLE JD,LLC

Doing Business As: SUNDANCE DENTAL CARE

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 03D2152597

Address:
2620 S 83RD AVE
SUITE 104
PHOENIX, AZ
ZIP 85043
Phone: (623) 936-6665
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DOUBLE JD,LLC is a general practice dentist in Phoenix, 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. DOUBLE JD,LLC NPI is 1982821617. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Sundance Dental Care.

The provider's business location address is:

2620 S 83RD AVE
SUITE 104
PHOENIX, AZ
ZIP 85043-203
Phone: (623) 936-6665
Fax: (623) 936-6829

The provider's authorized official is James Day .
The authorized official title is Owner and has the following contact phone number (928) 774-5050.

The CLIA number assigned to this NPI record is 03D2152597 - other - dental office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/20/2007 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 Practice5492ARIZONAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.