Canyon Trails Family Dental, Llc

LBN: Canyon Trails Family Dental, Llc
Canyon Trails Family Dental, Llc is an health care organization with primary practice located at 500 N Estrella Pkwy Suite B-1, Goodyear AZ 85338-4135. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Canyon Trails Family Dental, Llc can be contacted via phone (623) 882-0782, or through Ballard, John E via phone (480) 889-9457.

Contact Information

Primary practice address
500 N Estrella Pkwy Suite B-1 Goodyear AZ 85338-4135
Phone: (623) 882-0782
Fax: (623) 882-0878
Website:
Map and Directions
Authorized official contact:
Name: Ballard, John E
Phone: (480) 889-9457

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Arizona

Profile Details

NPI number 1104282425
LBN Legal business name Canyon Trails Family Dental, Llc
DBA Doing business as
Authorized official Ballard, John E
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2016
Last updated Jan 4th, 2016 - about 10 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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