Tri-States Dental, Inc.

LBN: Tri-States Dental, Inc.
Tri-States Dental, Inc. is an health care organization with primary practice located at 1518 Sierra Vista Dr , Bullhead City AZ 86442-6069. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Tri-States Dental, Inc. can be contacted via phone (928) 704-0144, or through Do, Dominic via phone (928) 704-0144.

Contact Information

Primary practice address
1518 Sierra Vista Dr Bullhead City AZ 86442-6069
Phone: (928) 704-0144
Fax: (928) 704-9791
Website:
Map and Directions
Authorized official contact:
Name: Do, Dominic Doctor of Dental Surgery (DDS)
Phone: (928) 704-0144

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4817 Nevada

Profile Details

NPI number 1649460221
LBN Legal business name Tri-States Dental, Inc.
DBA Doing business as
Authorized official Do, Dominic Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2007
Last updated Jul 30th, 2007 - about 18 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 1649460221 NPPES
Arizona MEDICAID 190343

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