Arizona Anesthesia For Dentistry, Llc

LBN: Arizona Anesthesia For Dentistry, Llc
Arizona Anesthesia For Dentistry, Llc is an health care organization with primary practice located at 6600 N Oracle Rd Ste 110, Tucson AZ 85704-5676. The organization recently has only one registered license in Dental Providers / Dentist Anesthesiologist, which is considered as the primary health care specialty. Arizona Anesthesia For Dentistry, Llc can be contacted via phone (208) 559-6122, or through Bonander, Jeremy via phone (208) 559-6122.

Contact Information

Primary practice address
6600 N Oracle Rd Ste 110 Tucson AZ 85704-5676
Phone: (208) 559-6122
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bonander, Jeremy Doctor of Dental Surgery (DDS)
Phone: (208) 559-6122

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist Anesthesiologist 1223D0004X D8861 Arizona

Profile Details

NPI number 1700241809
LBN Legal business name Arizona Anesthesia For Dentistry, Llc
DBA Doing business as
Authorized official Bonander, Jeremy Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 16th, 2015
Last updated Dec 16th, 2015 - about 9 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 1700241809 NPPES
Arizona MEDICAID 814918
Arizona MEDICAID 908509
Arizona MEDICAID 552228

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