<Unavail>

LBN: Gordon K. Roediger, D.D.S., Eastside, P.C.
<Unavail> is an health care organization with primary practice located at 5190 E Farness Dr Ste 100 , Tucson AZ 85712-2142. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Gordon K. Roediger, D.D.S., Eastside, P.C. can be contacted via phone (520) 795-3773, or through Roediger, Gordon Kent via phone (520) 795-3773.

Contact Information

Primary practice address
5190 E Farness Dr Ste 100 Tucson AZ 85712-2142
Phone: (520) 795-3773
Fax: (520) 795-4008
Website:
Map and Directions
Authorized official contact:
Name: Roediger, Gordon Kent Doctor of Dental Surgery (DDS)
Phone: (520) 795-3773

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2385 Arizona

Profile Details

NPI number 1811171226
LBN Legal business name Gordon K. Roediger, D.D.S., Eastside, P.C.
DBA Doing business as <Unavail>
Authorized official Roediger, Gordon Kent Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2007
Last updated Dec 20th, 2007 - about 19 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 1811171226 NPPES
Arizona Other 1457543613 NPI
Arizona Other 1093925232 NPI
Arizona Other 1669532057 NPI

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