Surprise Family Dentistry
LBN: Surprise Family Dentistry
Surprise Family Dentistry is an health care organization with primary practice located at 18775 N Reems Rd Ste 300 , Surprise AZ 85374-8647. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice, Dental Providers / Prosthodontics. Dental Providers / Dentist is the primary health care specialty.
Surprise Family Dentistry can be contacted via phone (623) 556-5510, or through Thulasidas, Shreedevi via phone (623) 556-5510.
Contact Information
Primary practice address
18775 N Reems Rd Ste 300
Surprise AZ 85374-8647
Phone: (623) 556-5510
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | D07677 | Arizona |
Dental Providers / Dentist | 122300000X | D05975 | Arizona |
Dental Providers / General Practice | 1223G0001X | D07677 | Arizona |
Dental Providers / General Practice | 1223G0001X | D05975 | Arizona |
Dental Providers / Prosthodontics | 1223P0700X | D07677 | Arizona |
Profile Details
NPI number | 1679933154 |
---|---|
LBN Legal business name | Surprise Family Dentistry |
DBA Doing business as | Surprise Family Dentistry |
Authorized official | Thulasidas, Shreedevi DDS MS |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Feb 26th, 2016 |
Last updated | Nov 1st, 2016 - about 9 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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