Southern Vista Dental Care

LBN: 1801 Southern Vista Dental Care
Southern Vista Dental Care is an health care organization with primary practice located at 1801 E Southern Ave Suite 103, Mesa AZ 85204-5258. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. 1801 Southern Vista Dental Care can be contacted via phone (480) 892-9000, or through Caffall, Elwynn Chad via phone (480) 892-9000.

Contact Information

Primary practice address
1801 E Southern Ave Suite 103 Mesa AZ 85204-5258
Phone: (480) 892-9000
Fax: (480) 926-0545
Website:
Map and Directions
Authorized official contact:
Name: Caffall, Elwynn Chad Doctor of Dental Surgery (DDS)
Phone: (480) 892-9000

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 6283 Arizona
Dental Providers / Dentist 122300000X 2561 Arizona
Dental Providers / Dentist 122300000X 6591 Arizona

Profile Details

NPI number 1023102183
LBN Legal business name 1801 Southern Vista Dental Care
DBA Doing business as Southern Vista Dental Care
Authorized official Caffall, Elwynn Chad Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Aug 22nd, 2020 - about 5 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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