Pimc Dental Services

LBN: Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm.
Pimc Dental Services is an health care organization with primary practice located at 4212 N 16Th St , Phoenix AZ 85016-5319. The organization recently has 11 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Dental Public Health, Dental Providers / Endodontics, Dental Providers / General Practice, Dental Providers / Pediatric Dentistry, Dental Providers / Periodontics, Dental Providers / Prosthodontics, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Orthodontics and Dentofacial Orthopedics, Dental Providers / Dental Hygienist, Dental Providers / Dental Assistant. Dental Providers / Dentist is the primary health care specialty. Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm. can be contacted via phone (602) 263-1200, or through Dick, Deanna J. via phone (602) 263-1567.

Contact Information

Primary practice address
4212 N 16Th St Phoenix AZ 85016-5319
Phone: (602) 263-1200
Fax: (602) 263-1618
Website:
Map and Directions
Authorized official contact:
Name: Dick, Deanna J. MSW., MHA.
Phone: (602) 263-1567

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Dental Providers / Dental Public Health 1223D0001X
Dental Providers / Endodontics 1223E0200X
Dental Providers / General Practice 1223G0001X
Dental Providers / Pediatric Dentistry 1223P0221X
Dental Providers / Periodontics 1223P0300X
Dental Providers / Prosthodontics 1223P0700X
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X
Dental Providers / Dental Hygienist 124Q00000X
Dental Providers / Dental Assistant 126800000X

Profile Details

NPI number 1992819858
LBN Legal business name Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm.
DBA Doing business as Pimc Dental Services
Authorized official Dick, Deanna J. MSW., MHA.
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 18th, 2006
Last updated Jun 18th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992819858 NPPES
Arizona MEDICAID 022062
Arizona Other P0206550
Arizona MEDICAID 092354
Arizona MEDICAID 418196

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