Desert State Dental Anesthesia, Llc

LBN: Desert State Dental Anesthesia, Llc
Desert State Dental Anesthesia, Llc is an health care organization with primary practice located at 625 W Southern Ave Ste E-145 , Mesa AZ 85210-5030. The organization recently has only one registered license in Dental Providers / Dentist Anesthesiologist, which is considered as the primary health care specialty. Desert State Dental Anesthesia, Llc can be contacted via phone (480) 332-5541, or through Turner, Reuben Nelson via phone (480) 332-5541.

Contact Information

Primary practice address
625 W Southern Ave Ste E-145 Mesa AZ 85210-5030
Phone: (480) 332-5541
Fax: (866) 814-1886
Website:
Map and Directions
Authorized official contact:
Name: Turner, Reuben Nelson Doctor of Dental Surgery (DDS)
Phone: (480) 332-5541

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist Anesthesiologist 1223D0004X

Profile Details

NPI number 1407994676
LBN Legal business name Desert State Dental Anesthesia, Llc
DBA Doing business as
Authorized official Turner, Reuben Nelson Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2007
Last updated Jun 29th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407994676 NPPES
Arizona MEDICAID 884644

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