Advanced Dental Group, Inc.

LBN: Advanced Dental Group, Inc.
Advanced Dental Group, Inc. is an health care organization with primary practice located at 15440 N 7Th St Suite 8, Phoenix AZ 85022-3535. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics. Dental Providers / Dentist is the primary health care specialty. Advanced Dental Group, Inc. can be contacted via phone (602) 504-6400, or through Spilotro, Peter via phone (623) 680-9911.

Contact Information

Primary practice address
15440 N 7Th St Suite 8 Phoenix AZ 85022-3535
Phone: (602) 504-6400
Fax: (602) 504-6300
Website:
Map and Directions
Authorized official contact:
Name: Spilotro, Peter Doctor of Dental Surgery (DDS)
Phone: (623) 680-9911

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D4664 Arizona
Dental Providers / Dentist 122300000X D5123 Arizona
Dental Providers / Endodontics 1223E0200X D5915 Arizona

Profile Details

NPI number 1255695813
LBN Legal business name Advanced Dental Group, Inc.
DBA Doing business as
Authorized official Spilotro, Peter Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2012
Last updated Jun 28th, 2012 - about 12 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 1255695813 NPPES
Arizona MEDICAID 835324
Arizona MEDICAID 633679
Arizona MEDICAID 639651
Arizona Other 996431
Arizona Other AZ0414080

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