Just For Kids Dentistry Bullhead, Pllc

LBN: Just For Kids Dentistry Bullhead, Pllc
Just For Kids Dentistry Bullhead, Pllc is an health care organization with primary practice located at 2580 Hwy 95 Ste. 101, Bullhead City AZ 86442. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Just For Kids Dentistry Bullhead, Pllc can be contacted via phone (928) 758-9464, or through Dicarlo, Ronald Anthony via phone (928) 718-7188.

Contact Information

Primary practice address
2580 Hwy 95 Ste. 101 Bullhead City AZ 86442
Fax: (928) 758-9459
Website:
Authorized official contact:
Name: Dicarlo, Ronald Anthony Doctor of Dental Medicine (DMD)

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X D6061 Arizona

Profile Details

NPI number 1952563132
LBN Legal business name Just For Kids Dentistry Bullhead, Pllc
DBA Doing business as
Authorized official Dicarlo, Ronald Anthony Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2008
Last updated Mar 6th, 2014 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952563132 NPPES
Arizona MEDICAID 983470

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