Horizon Dental Group Spring Valley

LBN: Horizon Dental Group Spring Valley
Horizon Dental Group Spring Valley is an health care organization with primary practice located at 17301 E Spring Valley Rd Ste C , Spring Valley AZ 86333-4263. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Horizon Dental Group Spring Valley can be contacted via phone (928) 632-9099, or through Costes, Mark Anthony via phone (928) 925-6522.

Contact Information

Primary practice address
17301 E Spring Valley Rd Ste C Spring Valley AZ 86333-4263
Phone: (928) 632-9099
Fax: (928) 458-7090
Website:
Map and Directions
Authorized official contact:
Name: Costes, Mark Anthony Doctor of Dental Surgery (DDS)
Phone: (928) 925-6522

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D5634 Arizona

Profile Details

NPI number 1063969046
LBN Legal business name Horizon Dental Group Spring Valley
DBA Doing business as
Authorized official Costes, Mark Anthony Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2016
Last updated Sep 7th, 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 1063969046 NPPES
Arizona MEDICAID 731456
Arizona MEDICAID 703042

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