Oral And Maxillofacial Surgeons Of Northern Arizona

LBN: Oral And Maxillofacial Surgeons Of Northern Arizona
Oral And Maxillofacial Surgeons Of Northern Arizona is an health care organization with primary practice located at 77 W Forest Ave Ste 107, Flagstaff AZ 86001-1482. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as the primary health care specialty. Oral And Maxillofacial Surgeons Of Northern Arizona can be contacted via phone (928) 773-2530, or through Peterson, Lorin Dean via phone (928) 773-2530.

Contact Information

Primary practice address
77 W Forest Ave Ste 107 Flagstaff AZ 86001-1482
Fax: (928) 773-2532
Website:
Authorized official contact:
Name: Peterson, Lorin Dean Doctor of Dental Medicine (DMD)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 2803 Arizona

Profile Details

NPI number 1487651071
LBN Legal business name Oral And Maxillofacial Surgeons Of Northern Arizona
DBA Doing business as
Authorized official Peterson, Lorin Dean Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2005
Last updated Oct 16th, 2007 - 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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