Pimc Dental Services
LBN: Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm.
Pimc Dental Services is an health care organization with primary practice located at 4212 N 16Th St , Phoenix AZ 85016-5319. The organization recently has 11 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Dental Public Health, Dental Providers / Endodontics, Dental Providers / General Practice, Dental Providers / Pediatric Dentistry, Dental Providers / Periodontics, Dental Providers / Prosthodontics, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Orthodontics and Dentofacial Orthopedics, Dental Providers / Dental Hygienist, Dental Providers / Dental Assistant. Dental Providers / Dentist is the primary health care specialty.
Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm. can be contacted via phone (602) 263-1200, or through Dick, Deanna J. via phone (602) 263-1567.
Contact Information
Primary practice address
4212 N 16Th St
Phoenix AZ 85016-5319
Phone: (602) 263-1200
Fax: (602) 263-1618
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | ||
| Dental Providers / Dental Public Health | 1223D0001X | ||
| Dental Providers / Endodontics | 1223E0200X | ||
| Dental Providers / General Practice | 1223G0001X | ||
| Dental Providers / Pediatric Dentistry | 1223P0221X | ||
| Dental Providers / Periodontics | 1223P0300X | ||
| Dental Providers / Prosthodontics | 1223P0700X | ||
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | ||
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | ||
| Dental Providers / Dental Hygienist | 124Q00000X | ||
| Dental Providers / Dental Assistant | 126800000X |
Profile Details
| NPI number | 1992819858 |
|---|---|
| LBN Legal business name | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm. |
| DBA Doing business as | Pimc Dental Services |
| Authorized official | Dick, Deanna J. MSW., MHA. |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Jun 18th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992819858 | NPPES |
| Arizona | MEDICAID | 022062 | |
| Arizona | Other | P0206550 | |
| Arizona | MEDICAID | 092354 | |
| Arizona | MEDICAID | 418196 |
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