Acacia Family Dental Group
LBN: Gordon K. Roediger, D.D.S., Eastside, P.C.
Acacia Family Dental Group is an health care organization with primary practice located at 5190 E Farness Dr Ste 100 , Tucson AZ 85712-2142. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty.
Gordon K. Roediger, D.D.S., Eastside, P.C. can be contacted via phone (520) 795-3773, or through Roediger, Gordon Kent via phone (520) 795-3773.
Contact Information
Primary practice address
5190 E Farness Dr Ste 100
Tucson AZ 85712-2142
Phone: (520) 795-3773
Fax: (520) 795-4008
Website:
Authorized official contact:
Name: Roediger, Gordon Kent Doctor of Dental Surgery (DDS)
Phone: (520) 795-3773
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 2385 | Arizona |
Profile Details
| NPI number | 1811171226 |
|---|---|
| LBN Legal business name | Gordon K. Roediger, D.D.S., Eastside, P.C. |
| DBA Doing business as | Acacia Family Dental Group |
| Authorized official | Roediger, Gordon Kent Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 20th, 2007 |
| Last updated | Dec 20th, 2007 - about 17 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 | 1811171226 | NPPES |
| Arizona | Other | 1457543613 | NPI |
| Arizona | Other | 1093925232 | NPI |
| Arizona | Other | 1669532057 | NPI |
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