Desert Ridge Pediatric Dentistry

LBN: Desert Ridge Pediatric Dentistry
Desert Ridge Pediatric Dentistry is an health care organization with primary practice located at 5315 E. High Street Suite 115, Phoenix AZ 85054. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Desert Ridge Pediatric Dentistry can be contacted via phone (480) 585-5868, or through Libby, Lidieth R via phone (480) 585-5868.

Contact Information

Primary practice address
5315 E. High Street Suite 115 Phoenix AZ 85054
Phone: (480) 585-5868
Fax: (480) 585-1208
Website:
Map and Directions
Authorized official contact:
Name: Libby, Lidieth R Doctor of Dental Surgery (DDS)
Phone: (480) 585-5868

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 5548 Arizona

Profile Details

NPI number 1811176860
LBN Legal business name Desert Ridge Pediatric Dentistry
DBA Doing business as
Authorized official Libby, Lidieth R Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2007
Last updated Jul 17th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811176860 NPPES
Arizona MEDICAID 632481

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