Wild West Kids Dental Bullhead
LBN: Wild West Kids Dental Bullhead
Wild West Kids Dental Bullhead is an health care organization with primary practice located at 2401 Miracle Mile , Bullhead City AZ 86442-7311. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Ambulatory Health Care Facilities / Dental. Ambulatory Health Care Facilities / Dental is the primary health care specialty.
Wild West Kids Dental Bullhead can be contacted via phone (928) 704-5573, or through Dicarlo, Ronald A via phone (928) 718-7188.
Contact Information
Primary practice address
2401 Miracle Mile
Bullhead City AZ 86442-7311
Phone: (928) 704-5573
Fax:
Website:
Authorized official contact:
Name: Dicarlo, Ronald A Doctor of Dental Medicine (DMD)
Phone: (928) 718-7188
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Pediatric Dentistry | 1223P0221X | ||
Ambulatory Health Care Facilities / Dental | 261QD0000X |
Profile Details
NPI number | 1932799053 |
---|---|
LBN Legal business name | Wild West Kids Dental Bullhead |
DBA Doing business as | |
Authorized official | Dicarlo, Ronald A Doctor of Dental Medicine (DMD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jan 22nd, 2021 |
Last updated | Jan 22nd, 2021 - about 4 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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