Mountain Park Dentistry L.L.C.

LBN: Mountain Park Dentistry L.L.C.
Mountain Park Dentistry L.L.C. is an health care organization with primary practice located at 15215 S 48Th St Ste 175 , Phoenix AZ 85044-9140. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Periodontics. Dental Providers / General Practice is the primary health care specialty. Mountain Park Dentistry L.L.C. can be contacted via phone (480) 759-9300, or through Mow, Randy via phone (480) 759-9300.

Contact Information

Primary practice address
15215 S 48Th St Ste 175 Phoenix AZ 85044-9140
Fax: (480) 759-2130
Website:
Authorized official contact:
Name: Mow, Randy Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X
Dental Providers / Periodontics 1223P0300X

Profile Details

NPI number 1457719114
LBN Legal business name Mountain Park Dentistry L.L.C.
DBA Doing business as
Authorized official Mow, Randy Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2016
Last updated Feb 9th, 2016 - about 8 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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