Starlight Dental Services Inc

LBN: Starlight Dental Services Inc
Starlight Dental Services Inc is an health care organization with primary practice located at 3440 W Cactus Rd Ste 1 , Phoenix AZ 85029-2238. The organization recently has 6 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Orthodontics and Dentofacial Orthopedics, Dental Providers / Dental Hygienist, Dental Providers / Dental Assistant. Dental Providers / General Practice is the primary health care specialty. Starlight Dental Services Inc can be contacted via phone (623) 688-3364, or through Tae, Albert via phone (424) 392-2715.

Contact Information

Primary practice address
3440 W Cactus Rd Ste 1 Phoenix AZ 85029-2238
Phone: (623) 688-3364
Fax: (623) 244-0333
Website:
Map and Directions
Authorized official contact:
Name: Tae, Albert JD
Phone: (424) 392-2715

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X
Dental Providers / Pediatric Dentistry 1223P0221X
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X
Dental Providers / Dental Hygienist 124Q00000X
Dental Providers / Dental Assistant 126800000X

Profile Details

NPI number 1063015576
LBN Legal business name Starlight Dental Services Inc
DBA Doing business as
Authorized official Tae, Albert JD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2020
Last updated Apr 23rd, 2023 - about 2 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 1063015576 NPPES
Arizona Other 2020P06513 ARIZONA DEPARTMENT OF PUBLIC SAFETY

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