Canyon Vista Dental

LBN: Canyon Vista Dental
Canyon Vista Dental is an health care organization with primary practice located at 1993 S Frontage Road Suite 208, Sierra Vista AZ 85635. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Canyon Vista Dental can be contacted via phone (520) 458-4646, or through Jackson, Marvin Blane via phone (435) 637-2100.

Contact Information

Primary practice address
1993 S Frontage Road Suite 208 Sierra Vista AZ 85635
Phone: (520) 458-4646
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Marvin Blane
Phone: (435) 637-2100

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1518515212
LBN Legal business name Canyon Vista Dental
DBA Doing business as
Authorized official Jackson, Marvin Blane
Entity Organization
Organization subpart 1 No
Enumeration date Aug 27th, 2019
Last updated Aug 27th, 2019 - about 7 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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