Canyon Dental Group, Pllc

LBN: Canyon Dental Group, Pllc
Canyon Dental Group, Pllc is an health care organization with primary practice located at 4001 E Broadway Blvd , Tucson AZ 85711-3454. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Canyon Dental Group, Pllc can be contacted via phone (520) 323-2600, or through Hall, Berkley via phone (520) 323-2600.

Contact Information

Primary practice address
4001 E Broadway Blvd Tucson AZ 85711-3454
Fax: (520) 323-2800
Website:
Authorized official contact:
Name: Hall, Berkley

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1619363694
LBN Legal business name Canyon Dental Group, Pllc
DBA Doing business as
Authorized official Hall, Berkley
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2015
Last updated Apr 7th, 2015 - about 11 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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