Phoenix Mountain Dentistry, Llc

LBN: Phoenix Mountain Dentistry, Llc
Phoenix Mountain Dentistry, Llc is an health care organization with primary practice located at 4155 N 108Th Ave Ste 101 , Phoenix AZ 85037-5464. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Phoenix Mountain Dentistry, Llc can be contacted via phone (623) 877-4044, or through Pryor, Fawne via phone (602) 944-0073.

Contact Information

Primary practice address
4155 N 108Th Ave Ste 101 Phoenix AZ 85037-5464
Phone: (623) 877-4044
Fax: (623) 877-0058
Website:
Map and Directions
Authorized official contact:
Name: Pryor, Fawne
Phone: (602) 944-0073

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D5983 Arizona

Profile Details

NPI number 1295850808
LBN Legal business name Phoenix Mountain Dentistry, Llc
DBA Doing business as
Authorized official Pryor, Fawne
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2007
Last updated Aug 22nd, 2020 - about 6 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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