Chandler Pediatric Dental
LBN: Scoresby Pediatric Dental
Chandler Pediatric Dental is an health care organization with primary practice located at 2095 W Frye Rd Ste 2 , Chandler AZ 85224-6280. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty.
Scoresby Pediatric Dental can be contacted via phone (480) 855-8315, or through Scoresby, Robert William via phone (480) 855-8315.
Contact Information
Primary practice address
2095 W Frye Rd Ste 2
Chandler AZ 85224-6280
Phone: (480) 855-8315
Fax: (480) 855-8316
Website:
Authorized official contact:
Name: Scoresby, Robert William Doctor of Dental Surgery (DDS)
Phone: (480) 855-8315
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | D7962 | Arizona |
| Dental Providers / Pediatric Dentistry | 1223P0221X | Arizona |
Profile Details
| NPI number | 1417176199 |
|---|---|
| LBN Legal business name | Scoresby Pediatric Dental |
| DBA Doing business as | Chandler Pediatric Dental |
| Authorized official | Scoresby, Robert William Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 24th, 2007 |
| Last updated | Feb 19th, 2018 - about 7 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 | 1417176199 | NPPES |
| Arizona | MEDICAID | 535113 | |
| Arizona | MEDICAID | 814503 |
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