Mohave Dental Associates Pc

LBN: Mohave Dental Associates Pc
Mohave Dental Associates Pc is an health care organization with primary practice located at 4601 Stockton Hill Road , Kingman AZ 86409. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Mohave Dental Associates Pc can be contacted via phone (928) 757-3225, or through Melstrom, Clark Earl via phone (928) 757-3225.

Contact Information

Primary practice address
4601 Stockton Hill Road Kingman AZ 86409
Fax: (928) 757-7477
Website:
Authorized official contact:
Name: Melstrom, Clark Earl Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2714 Arizona

Profile Details

NPI number 1942266846
LBN Legal business name Mohave Dental Associates Pc
DBA Doing business as
Authorized official Melstrom, Clark Earl Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 21st, 2006
Last updated Feb 2nd, 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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