Sweet Tooth Pediatric Dentistry

LBN: Timothy J. Bashara, Dmd, Plc
Sweet Tooth Pediatric Dentistry is an health care organization with primary practice located at 5656 S. Power Rd. Ste. 118, Gilbert AZ 85295. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Timothy J. Bashara, Dmd, Plc can be contacted via phone (480) 988-1879, or through Bashara, Timothy J via phone (480) 988-1879.

Contact Information

Primary practice address
5656 S. Power Rd. Ste. 118 Gilbert AZ 85295
Fax: (480) 988-4690
Website:
Authorized official contact:
Name: Bashara, Timothy J Doctor of Dental Medicine (DMD)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X D5688 Arizona

Profile Details

NPI number 1871707836
LBN Legal business name Timothy J. Bashara, Dmd, Plc
DBA Doing business as Sweet Tooth Pediatric Dentistry
Authorized official Bashara, Timothy J Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2007
Last updated Sep 17th, 2008 - about 16 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 1871707836 NPPES
Arizona MEDICAID 718794
Arizona Other 718794

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