Dental Specialty Group Inc

LBN: Dental Specialty Group Inc
Dental Specialty Group Inc is an health care organization with primary practice located at 4435 E Broadway Rd Ste 7 , Mesa AZ 85206-2012. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / Oral and Maxillofacial Pathology, Dental Providers / Periodontics. Dental Providers / Periodontics is the primary health care specialty. Dental Specialty Group Inc can be contacted via phone (480) 471-8480, or through Mankin, Bennett via phone (480) 239-2088.

Contact Information

Primary practice address
4435 E Broadway Rd Ste 7 Mesa AZ 85206-2012
Phone: (480) 471-8480
Fax: (480) 654-0705
Website:
Map and Directions
Authorized official contact:
Name: Mankin, Bennett
Phone: (480) 239-2088

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X
Dental Providers / Periodontics 1223P0300X

Profile Details

NPI number 1063005049
LBN Legal business name Dental Specialty Group Inc
DBA Doing business as
Authorized official Mankin, Bennett
Entity Organization
Organization subpart 1 No
Enumeration date Feb 19th, 2021
Last updated Feb 26th, 2021 - about 4 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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