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
Phone: (928) 757-3225
Fax: (928) 757-7477
Website:
Authorized official contact:
Name: Melstrom, Clark Earl Doctor of Dental Surgery (DDS)
Phone: (928) 757-3225
Health care specialties
| Specialty | Code | License # | 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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