Black Mountain Endodontics

LBN: Black Mountain Endodontics
Black Mountain Endodontics is an health care organization with primary practice located at 21755 N 77Th Ave Ste 1210 , Peoria AZ 85382-2112. The organization recently has only one registered license in Dental Providers / Endodontics, which is considered as the primary health care specialty. Black Mountain Endodontics can be contacted via phone (623) 248-0899, or through Heslington, Cody via phone (801) 318-5264.

Contact Information

Primary practice address
21755 N 77Th Ave Ste 1210 Peoria AZ 85382-2112
Phone: (623) 248-0899
Fax: (623) 248-9951
Website:
Map and Directions
Authorized official contact:
Name: Heslington, Cody Doctor of Dental Medicine (DMD)
Phone: (801) 318-5264

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X

Profile Details

NPI number 1538829973
LBN Legal business name Black Mountain Endodontics
DBA Doing business as
Authorized official Heslington, Cody Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2021
Last updated Sep 27th, 2022 - about 2 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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