Vistancia Orthodontics

LBN: Croft Orthodontics Pllc
Vistancia Orthodontics is an health care organization with primary practice located at 9772 W Yearling Rd Ste A1600, Peoria AZ 85383-1380. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Orthodontics and Dentofacial Orthopedics, Suppliers / Durable Medical Equipment & Medical Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Croft Orthodontics Pllc can be contacted via phone (623) 566-0800, or through Croft, Devin Lee via phone (623) 566-0800.

Contact Information

Primary practice address
9772 W Yearling Rd Ste A1600 Peoria AZ 85383-1380
Phone: (623) 566-0800
Fax: (833) 330-2854
Website:
Map and Directions
Authorized official contact:
Name: Croft, Devin Lee DDS, MS
Phone: (623) 566-0800

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 7616 Arizona
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1225352289
LBN Legal business name Croft Orthodontics Pllc
DBA Doing business as Vistancia Orthodontics
Authorized official Croft, Devin Lee DDS, MS
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2010
Last updated Oct 13th, 2023 - about last year

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 1225352289 NPPES
Arizona MEDICAID 162964
Arizona MEDICAID 518939

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