Manzana Dental

LBN: Ks Az-2, Pc
Manzana Dental is an health care organization with primary practice located at 2383 West 24Th Street , Yuma AZ 85364. 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 (928) 314-1131, or through Mayfield, Dale via phone (770) 916-5036.

Contact Information

Primary practice address
2383 West 24Th Street Yuma AZ 85364
Phone: (928) 314-1131
Fax: (928) 314-1132
Website:
Map and Directions
Authorized official contact:
Name: Mayfield, Dale Doctor of Dental Medicine (DMD)
Phone: (770) 916-5036

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X
Dental Providers / General Practice 1223G0001X
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X

Profile Details

NPI number 1588751184
LBN Legal business name Ks Az-2, Pc
DBA Doing business as Manzana Dental
Authorized official Mayfield, Dale Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2006
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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