Horizon Dental Group Llc
LBN: Horizon Dental Group Llc
Horizon Dental Group Llc is an health care organization with primary practice located at 432 N Butterfield Rd , Chino Valley AZ 86323. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
Horizon Dental Group Llc can be contacted via phone (928) 636-1565, or through Costes, Mark Anthony via phone (928) 636-1565.
Contact Information
Primary practice address
432 N Butterfield Rd
Chino Valley AZ 86323
Phone: (928) 636-1565
Fax: (928) 636-1164
Website:
Authorized official contact:
Name: Costes, Mark Anthony Doctor of Dental Surgery (DDS)
Phone: (928) 636-1565
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D5634 | Arizona |
| Dental Providers / General Practice | 1223G0001X | D7056 | Arizona |
| Dental Providers / General Practice | 1223G0001X | D6997 | Arizona |
Profile Details
| NPI number | 1457419327 |
|---|---|
| LBN Legal business name | Horizon Dental Group Llc |
| DBA Doing business as | |
| Authorized official | Costes, Mark Anthony Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 4th, 2006 |
| Last updated | Jun 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457419327 | NPPES |
| Arizona | Other | 703042 | ACCCHS |
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