Desert Shores Dentistry, Pllc

LBN: Desert Shores Dentistry, Pllc
Desert Shores Dentistry, Pllc is an health care organization with primary practice located at 16515 S 40Th St Ste. 101, Phoenix AZ 85048-0558. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Desert Shores Dentistry, Pllc can be contacted via phone (480) 759-2000, or through Sandvik, Bradley Joseph via phone (480) 759-2000.

Contact Information

Primary practice address
16515 S 40Th St Ste. 101 Phoenix AZ 85048-0558
Phone: (480) 759-2000
Fax: (480) 759-2058
Website:
Map and Directions
Authorized official contact:
Name: Sandvik, Bradley Joseph Doctor of Dental Medicine (DMD)
Phone: (480) 759-2000

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5676 Arizona

Profile Details

NPI number 1376752808
LBN Legal business name Desert Shores Dentistry, Pllc
DBA Doing business as
Authorized official Sandvik, Bradley Joseph Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2007
Last updated Aug 22nd, 2020 - about 6 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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