Desert Mountain Endodontics

LBN: Desert Mountain Endodontics
Desert Mountain Endodontics is an health care organization with primary practice located at 20542 N Lake Pleasant Rd #113, Peoria AZ 85382-9749. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Desert Mountain Endodontics can be contacted via phone (623) 594-2888, or through Casale, Jack via phone (623) 594-2888.

Contact Information

Primary practice address
20542 N Lake Pleasant Rd #113 Peoria AZ 85382-9749
Fax: (623) 328-9474
Website:
Authorized official contact:
Name: Casale, Jack Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X 8110 Arizona

Profile Details

NPI number 1609284801
LBN Legal business name Desert Mountain Endodontics
DBA Doing business as
Authorized official Casale, Jack Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 31st, 2014
Last updated Jul 31st, 2014 - 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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