<Unavail>

LBN: Ks Az-1, Pc
<Unavail> is an health care organization with primary practice located at 3554 W Glendale Ave , Phoenix AZ 85051-8358. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / General Practice is the primary health care specialty. Ks Az-1, Pc can be contacted via phone (602) 233-5665, or through Mayfield, Dale via phone (770) 916-5028.

Contact Information

Primary practice address
3554 W Glendale Ave Phoenix AZ 85051-8358
Phone: (602) 233-5665
Fax: (602) 233-5666
Website:
Map and Directions
Authorized official contact:
Name: Mayfield, Dale Doctor of Dental Medicine (DMD)
Phone: (770) 916-5028

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X
Dental Providers / General Practice 1223G0001X
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X

Profile Details

NPI number 1588759161
LBN Legal business name Ks Az-1, Pc
DBA Doing business as <Unavail>
Authorized official Mayfield, Dale Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Dec 17th, 2014 - about 12 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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