Desert Ridge Implant & Oral Surgery Pc

LBN: Desert Ridge Implant & Oral Surgery Pc
Desert Ridge Implant & Oral Surgery Pc is an health care organization with primary practice located at 20950 N Tatum Blvd Ste. 120, Phoenix AZ 85050-4200. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Desert Ridge Implant & Oral Surgery Pc can be contacted via phone (480) 563-3960, or through Defelice, Matthew A. via phone (480) 563-3960.

Contact Information

Primary practice address
20950 N Tatum Blvd Ste. 120 Phoenix AZ 85050-4200
Fax: (480) 563-3965
Website:
Authorized official contact:
Name: Defelice, Matthew A. Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 5196 Arizona

Profile Details

NPI number 1588960512
LBN Legal business name Desert Ridge Implant & Oral Surgery Pc
DBA Doing business as
Authorized official Defelice, Matthew A. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2011
Last updated Apr 4th, 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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