Az Red Mountain Pediatric Dental Pllc

LBN: Az Red Mountain Pediatric Dental Pllc
Az Red Mountain Pediatric Dental Pllc is an health care organization with primary practice located at 9101 E Brown Rd 102, Mesa AZ 85207-4350. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Az Red Mountain Pediatric Dental Pllc can be contacted via phone (480) 565-8500, or through Welch, Jared W via phone (480) 917-9339.

Contact Information

Primary practice address
9101 E Brown Rd 102 Mesa AZ 85207-4350
Phone: (480) 565-8500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Welch, Jared W Doctor of Dental Surgery (DDS)
Phone: (480) 917-9339

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 5685 Arizona

Profile Details

NPI number 1679027817
LBN Legal business name Az Red Mountain Pediatric Dental Pllc
DBA Doing business as
Authorized official Welch, Jared W Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2016
Last updated Aug 4th, 2016 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1679027817 NPPES
Arizona MEDICAID 821497
Arizona MEDICAID 914227

Popular Providers