Silverstone Pediatric Group, Pllc

LBN: Ivy 2 Dental Pllc
Silverstone Pediatric Group, Pllc is an health care organization with primary practice located at 13075 W Mcdowell Rd Suite D-100, Avondale AZ 85392-6436. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Ivy 2 Dental Pllc can be contacted via phone (623) 322-8999, or through Imtiaz, Umar M via phone (623) 444-9999.

Contact Information

Primary practice address
13075 W Mcdowell Rd Suite D-100 Avondale AZ 85392-6436
Phone: (623) 322-8999
Fax:
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 / Pediatric Dentistry 1223P0221X 7256 Arizona

Profile Details

NPI number 1689100885
LBN Legal business name Ivy 2 Dental Pllc
DBA Doing business as Silverstone Pediatric Group, Pllc
Authorized official Imtiaz, Umar M Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 Yes
Enumeration date May 8th, 2017
Last updated Jul 20th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689100885 NPPES
Arizona MEDICAID 287411

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