Montoya Pediatric Dentistry Llc Dba San Tan Pediatric Dental

LBN: Montoya Pediatric Dentistry Llc Dba San Tan Pediatric Dental
Montoya Pediatric Dentistry Llc Dba San Tan Pediatric Dental is an health care organization with primary practice located at 2510 E Hunt Hwy Ste. 29, Queen Creek AZ 85243-5206. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Montoya Pediatric Dentistry Llc Dba San Tan Pediatric Dental can be contacted via phone (480) 457-1693, or through Montoya, Stephen J via phone (480) 457-1693.

Contact Information

Primary practice address
2510 E Hunt Hwy Ste. 29 Queen Creek AZ 85243-5206
Fax: (480) 457-1321
Website:
Authorized official contact:
Name: Montoya, Stephen J Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 7384 Arizona

Profile Details

NPI number 1467607218
LBN Legal business name Montoya Pediatric Dentistry Llc Dba San Tan Pediatric Dental
DBA Doing business as
Authorized official Montoya, Stephen J Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2008
Last updated Nov 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467607218 NPPES
Arizona MEDICAID 1407045636

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