<Unavail>

LBN: Modern Dental Professionals - Arizona Pc
<Unavail> is an health care organization with primary practice located at 2131 E Camelback Road Ste 102, Phoenix AZ 85015. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Modern Dental Professionals - Arizona Pc can be contacted via phone (714) 428-2000, or through Smith, Roy via phone (714) 428-2000.

Contact Information

Primary practice address
2131 E Camelback Road Ste 102 Phoenix AZ 85015
Phone: (714) 428-2000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Smith, Roy Doctor of Dental Surgery (DDS)
Phone: (714) 428-2000

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1689933947
LBN Legal business name Modern Dental Professionals - Arizona Pc
DBA Doing business as <Unavail>
Authorized official Smith, Roy Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2012
Last updated May 8th, 2012 - about 14 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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