Maryland Avenue Periodontics, Llc

LBN: Maryland Avenue Periodontics, Llc
Maryland Avenue Periodontics, Llc is an health care organization with primary practice located at 6520 N 7Th Ave Ste 5 , Phoenix AZ 85013-1158. The organization recently has only one registered license in Dental Providers / Periodontics, which is considered as the primary health care specialty. Maryland Avenue Periodontics, Llc can be contacted via phone (602) 242-2588, or through Warner, Jennifer via phone (602) 242-2588.

Contact Information

Primary practice address
6520 N 7Th Ave Ste 5 Phoenix AZ 85013-1158
Phone: (602) 242-2588
Fax: (602) 242-3137
Website:
Map and Directions
Authorized official contact:
Name: Warner, Jennifer
Phone: (602) 242-2588

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X

Profile Details

NPI number 1053602953
LBN Legal business name Maryland Avenue Periodontics, Llc
DBA Doing business as
Authorized official Warner, Jennifer
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2011
Last updated Apr 26th, 2011 - about 13 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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