Glisten Dental Llc
LBN: Glisten Dental Llc
Glisten Dental Llc is an health care organization with primary practice located at 4365 E Pecos Rd Ste 127 , Gilbert AZ 85295-8052. The organization recently has 9 registered licenses in different health care specialties including Dental Providers / Dentist, 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, Ambulatory Health Care Facilities / Sleep Disorder Diagnostic. Dental Providers / General Practice is the primary health care specialty.
Glisten Dental Llc can be contacted via phone (480) 331-4955, or through Dawood, Revan via phone (623) 262-4372.
Contact Information
Primary practice address
4365 E Pecos Rd Ste 127
Gilbert AZ 85295-8052
Phone: (480) 331-4955
Fax:
Website:
Authorized official contact:
Name: Dawood, Revan Doctor of Dental Medicine (DMD)
Phone: (623) 262-4372
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | ||
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 | ||
Ambulatory Health Care Facilities / Sleep Disorder Diagnostic | 261QS1200X |
Profile Details
NPI number | 1104553478 |
---|---|
LBN Legal business name | Glisten Dental Llc |
DBA Doing business as | |
Authorized official | Dawood, Revan Doctor of Dental Medicine (DMD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 5th, 2022 |
Last updated | Jun 8th, 2024 - about 3 months 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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