Dorsett Dentistry
LBN: Ks Az-2, Pc
Dorsett Dentistry is an health care organization with primary practice located at 5504 E 22Nd St Suite 140, Tucson AZ 85711. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / General Practice is the primary health care specialty.
Ks Az-2, Pc can be contacted via phone (678) 904-5665, or through Mayfield, Dale Gary via phone (770) 916-5036.
Contact Information
Primary practice address
5504 E 22Nd St Suite 140
Tucson AZ 85711
Phone: (678) 904-5665
Fax: (678) 904-5666
Website:
Authorized official contact:
Name: Mayfield, Dale Gary Doctor of Dental Medicine (DMD)
Phone: (770) 916-5036
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Endodontics | 1223E0200X | ||
Dental Providers / General Practice | 1223G0001X | ||
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X |
Profile Details
NPI number | 1487846317 |
---|---|
LBN Legal business name | Ks Az-2, Pc |
DBA Doing business as | Dorsett Dentistry |
Authorized official | Mayfield, Dale Gary Doctor of Dental Medicine (DMD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 14th, 2007 |
Last updated | Aug 29th, 2018 - about 6 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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