Ivy 2 Dental Pllc

LBN: Ivy 2 Dental Pllc
Ivy 2 Dental Pllc is an health care organization with primary practice located at 405 E Wetmore Rd Ste 101 , Tucson AZ 85705-1700. The organization recently has 4 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice, Dental Providers / Pediatric Dentistry, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Dentist is the primary health care specialty. Ivy 2 Dental Pllc can be contacted via phone (623) 444-9999, or through Imtiaz, Umar M via phone (623) 444-9999.

Contact Information

Primary practice address
405 E Wetmore Rd Ste 101 Tucson AZ 85705-1700
Phone: (623) 444-9999
Fax: (623) 444-6745
Website:
Map and Directions
Authorized official contact:
Name: Imtiaz, Umar M Doctor of Dental Surgery (DDS)
Phone: (623) 444-9999

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Dental Providers / General Practice 1223G0001X
Dental Providers / Pediatric Dentistry 1223P0221X
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X

Profile Details

NPI number 1205408622
LBN Legal business name Ivy 2 Dental Pllc
DBA Doing business as
Authorized official Imtiaz, Umar M Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 14th, 2021
Last updated Jul 14th, 2021 - about 4 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.

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