Great Grins Children'S Dentistry, P.L.L.C.
LBN: Great Grins Children'S Dentistry, P.L.L.C.
Great Grins Children'S Dentistry, P.L.L.C. is an health care organization with primary practice located at 3953 E Paradise Falls Dr Suite 110, Tucson AZ 85712-6688. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty.
Great Grins Children'S Dentistry, P.L.L.C. can be contacted via phone (520) 325-4746, or through Wolfman, Angela Michele via phone (520) 325-4746.
Contact Information
Primary practice address
3953 E Paradise Falls Dr Suite 110
Tucson AZ 85712-6688
Phone: (520) 325-4746
Fax: (520) 319-1031
Website:
Authorized official contact:
Name: Wolfman, Angela Michele Doctor of Dental Surgery (DDS)
Phone: (520) 325-4746
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 6632 | Arizona |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 6742 | Arizona |
Profile Details
| NPI number | 1134499007 |
|---|---|
| LBN Legal business name | Great Grins Children'S Dentistry, P.L.L.C. |
| DBA Doing business as | |
| Authorized official | Wolfman, Angela Michele Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 9th, 2012 |
| Last updated | May 14th, 2013 - about 12 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 | 1134499007 | NPPES |
| Arizona | MEDICAID | 977473 | |
| Arizona | MEDICAID | 967177 |
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