Maryland Garden Dental
LBN: Maryland Garden Dental
Maryland Garden Dental is an health care organization with primary practice located at 650 W Maryland Ave Suite 2, Phoenix AZ 85013-1399. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty.
Maryland Garden Dental can be contacted via phone (602) 249-1616, or through Eftekhari, Massoud via phone (602) 249-1616.
Contact Information
Primary practice address
650 W Maryland Ave Suite 2
Phoenix AZ 85013-1399
Phone: (602) 249-1616
Fax: (602) 249-1138
Website:
Authorized official contact:
Name: Eftekhari, Massoud Doctor of Dental Surgery (DDS)
Phone: (602) 249-1616
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Dental | 261QD0000X | 4954 | Arizona |
Profile Details
| NPI number | 1659586774 |
|---|---|
| LBN Legal business name | Maryland Garden Dental |
| DBA Doing business as | |
| Authorized official | Eftekhari, Massoud Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 11th, 2007 |
| Last updated | May 27th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659586774 | NPPES |
| Arizona | Other | 450966 | HEALTH CHOICE |
| Arizona | Other | 250891 | HEALTH CHOICE |
| Arizona | Other | 16354 | HEALTH CHOICE |
| Arizona | Other | 169853 | HEALTH CHOICE |
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