Canyon Modern Dentistry

LBN: Canyon Modern Dentistry, Llp
Canyon Modern Dentistry is an health care organization with primary practice located at 17081 W Greenway Rd Ste 121 , Surprise AZ 85388-9612. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Canyon Modern Dentistry, Llp can be contacted via phone (623) 546-8400, or through Mallory, James B via phone (623) 546-8400.

Contact Information

Primary practice address
17081 W Greenway Rd Ste 121 Surprise AZ 85388-9612
Phone: (623) 546-8400
Fax: (623) 214-5830
Website:
Map and Directions
Authorized official contact:
Name: Mallory, James B Doctor of Dental Medicine (DMD)
Phone: (623) 546-8400

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1194021170
LBN Legal business name Canyon Modern Dentistry, Llp
DBA Doing business as Canyon Modern Dentistry
Authorized official Mallory, James B Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2011
Last updated Feb 8th, 2011 - about 13 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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