Pediatric Dental Specialists, Ppc

LBN: Pediatric Dental Specialists, Ppc
Pediatric Dental Specialists, Ppc is an health care organization with primary practice located at 2550 E Guadalupe Rd Suite 101, Gilbert AZ 85234-5114. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Pediatric Dental Specialists, Ppc can be contacted via phone (480) 558-0777, or through Staker, Jonathan Lee via phone (480) 558-0777.

Contact Information

Primary practice address
2550 E Guadalupe Rd Suite 101 Gilbert AZ 85234-5114
Phone: (480) 558-0777
Fax: (480) 558-0888
Website:
Map and Directions
Authorized official contact:
Name: Staker, Jonathan Lee Doctor of Dental Surgery (DDS)
Phone: (480) 558-0777

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X Arizona

Profile Details

NPI number 1336146745
LBN Legal business name Pediatric Dental Specialists, Ppc
DBA Doing business as
Authorized official Staker, Jonathan Lee Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2005
Last updated Jul 21st, 2022 - about 3 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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