Kidz R Kool

LBN: Kidz R Kool
Kidz R Kool is an health care organization with primary practice located at 7505 W Deer Valley Rd Suite 110, Peoria AZ 85382-2107. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Kidz R Kool can be contacted via phone (623) 572-5777, or through Brenke, Celeste via phone (623) 572-5777.

Contact Information

Primary practice address
7505 W Deer Valley Rd Suite 110 Peoria AZ 85382-2107
Phone: (623) 572-5777
Fax: (623) 572-7288
Website:
Map and Directions
Authorized official contact:
Name: Brenke, Celeste
Phone: (623) 572-5777

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1336535152
LBN Legal business name Kidz R Kool
DBA Doing business as
Authorized official Brenke, Celeste
Entity Organization
Organization subpart 1 No
Enumeration date Apr 8th, 2015
Last updated Apr 8th, 2015 - about 11 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 1336535152 NPPES
Arizona MEDICAID 390493-004

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