Phoenix Wisdom Teeth, Llc

LBN: Phoenix Wisdom Teeth, Llc
Phoenix Wisdom Teeth, Llc is an health care organization with primary practice located at 17037 N 43Rd Ave # A4A , Glendale AZ 85308-4026. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Phoenix Wisdom Teeth, Llc can be contacted via phone (801) 406-8670, or through Arnold, Ryan via phone (801) 406-8670.

Contact Information

Primary practice address
17037 N 43Rd Ave # A4A Glendale AZ 85308-4026
Phone: (801) 406-8670
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Arnold, Ryan
Phone: (801) 406-8670

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X

Profile Details

NPI number 1255945366
LBN Legal business name Phoenix Wisdom Teeth, Llc
DBA Doing business as
Authorized official Arnold, Ryan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 4th, 2020
Last updated Sep 4th, 2020 - about 4 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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