Peoria Dentistry

LBN: 94Th Drive, Llc
Peoria Dentistry is an health care organization with primary practice located at 13660 N 94Th Dr B-1, Peoria AZ 85381-4836. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. 94Th Drive, Llc can be contacted via phone (623) 977-2551, or through Pryor, Fawne E via phone (623) 582-3902.

Contact Information

Primary practice address
13660 N 94Th Dr B-1 Peoria AZ 85381-4836
Phone: (623) 977-2551
Fax: (623) 977-9515
Website:
Map and Directions
Authorized official contact:
Name: Pryor, Fawne E MGR
Phone: (623) 582-3902

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D6772 Arizona

Profile Details

NPI number 1174769590
LBN Legal business name 94Th Drive, Llc
DBA Doing business as Peoria Dentistry
Authorized official Pryor, Fawne E MGR
Entity Organization
Organization subpart 1 No
Enumeration date Jan 7th, 2009
Last updated Jan 7th, 2009 - 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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