<Unavail>

LBN: Da Vinci Dental Group
<Unavail> is an health care organization with primary practice located at 1422 W Camelback Rd , Phoenix AZ 85013-2177. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Da Vinci Dental Group can be contacted via phone (602) 336-1111, or through Deavila, Rachel R via phone (602) 336-1111.

Contact Information

Primary practice address
1422 W Camelback Rd Phoenix AZ 85013-2177
Fax: (602) 249-3653
Website:
Authorized official contact:
Name: Deavila, Rachel R Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 5998 Arizona

Profile Details

NPI number 1740714229
LBN Legal business name Da Vinci Dental Group
DBA Doing business as <Unavail>
Authorized official Deavila, Rachel R Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2017
Last updated Apr 12th, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740714229 NPPES
Arizona MEDICAID 952673

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