Arizona Periodontal Group Pllc

LBN: Arizona Periodontal Group Pllc
Arizona Periodontal Group Pllc is an health care organization with primary practice located at 1717 W Northern Ave Ste 104, Phoenix AZ 85021-5469. The organization recently has only one registered license in Dental Providers / Periodontics, which is considered as the primary health care specialty. Arizona Periodontal Group Pllc can be contacted via phone (602) 995-5045, or through Trujillo, Ariel via phone (602) 995-5045.

Contact Information

Primary practice address
1717 W Northern Ave Ste 104 Phoenix AZ 85021-5469
Phone: (602) 995-5045
Fax: (602) 995-3222
Website:
Map and Directions
Authorized official contact:
Name: Trujillo, Ariel Doctor of Dental Medicine (DMD)
Phone: (602) 995-5045

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X Arizona

Profile Details

NPI number 1134338973
LBN Legal business name Arizona Periodontal Group Pllc
DBA Doing business as
Authorized official Trujillo, Ariel Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2007
Last updated Feb 22nd, 2013 - 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.

Request for update

Popular Providers