Dental Specialists Of Nw Arizona

LBN: Dental Specialists Of Nw Arizona
Dental Specialists Of Nw Arizona is an health care organization with primary practice located at 2152 Mcculloch Blvd N Ste C , Lake Havasu City AZ 86403-6805. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / Periodontics. Dental Providers / Periodontics is the primary health care specialty. Dental Specialists Of Nw Arizona can be contacted via phone (928) 854-5551, or through Lavene, Ryan via phone (928) 854-5551.

Contact Information

Primary practice address
2152 Mcculloch Blvd N Ste C Lake Havasu City AZ 86403-6805
Phone: (928) 854-5551
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lavene, Ryan Doctor of Dental Surgery (DDS)
Phone: (928) 854-5551

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 8793 Arizona
Dental Providers / Periodontics 1223P0300X 8823 Arizona

Profile Details

NPI number 1831554930
LBN Legal business name Dental Specialists Of Nw Arizona
DBA Doing business as
Authorized official Lavene, Ryan Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 16th, 2015
Last updated Dec 16th, 2015 - about 10 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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