<Unavail>

LBN: 1915 Dental Pllc
<Unavail> is an health care organization with primary practice located at 2221 E Frontage Rd C-101, Tubac AZ 85646. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Suppliers / Customized Equipment. Suppliers / Customized Equipment is the primary health care specialty. 1915 Dental Pllc can be contacted via phone (520) 398-8408, or through Foor, Alex via phone (520) 398-8408.

Contact Information

Primary practice address
2221 E Frontage Rd C-101 Tubac AZ 85646
Phone: (520) 398-8408
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Foor, Alex Doctor of Dental Medicine (DMD)
Phone: (520) 398-8408

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1639643059
LBN Legal business name 1915 Dental Pllc
DBA Doing business as <Unavail>
Authorized official Foor, Alex Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2019
Last updated Dec 11th, 2024 - about 2 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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