A To Z Pediatric Dentistry
LBN: A2Zpd Llc
A To Z Pediatric Dentistry is an health care organization with primary practice located at 1810 S Crismon Rd Ste 189, Mesa AZ 85209-3717. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty.
A2Zpd Llc can be contacted via phone (480) 503-3764, or through Clark, Joel R via phone (480) 503-3764.
Contact Information
Primary practice address
1810 S Crismon Rd Ste 189
Mesa AZ 85209-3717
Phone: (480) 503-3764
Fax: (480) 380-0336
Website:
Authorized official contact:
Name: Clark, Joel R Doctor of Dental Surgery (DDS)
Phone: (480) 503-3764
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Pediatric Dentistry | 1223P0221X | 5179 | Arizona |
Dental Providers / Pediatric Dentistry | 1223P0221X | 7725 | Arizona |
Profile Details
NPI number | 1730498320 |
---|---|
LBN Legal business name | A2Zpd Llc |
DBA Doing business as | A To Z Pediatric Dentistry |
Authorized official | Clark, Joel R Doctor of Dental Surgery (DDS) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Sep 29th, 2010 |
Last updated | Jan 16th, 2014 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1730498320 | NPPES |
Arizona | MEDICAID | 408928 | |
Arizona | MEDICAID | 558133 | |
Arizona | MEDICAID | 713546 |
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