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:
Map and Directions
Authorized official contact:
Name: Clark, Joel R Doctor of Dental Surgery (DDS)
Phone: (480) 503-3764

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730498320 NPPES
Arizona MEDICAID 408928
Arizona MEDICAID 558133
Arizona MEDICAID 713546

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