Stephen Vital Dmd Inc

LBN: Stephen Vital Dmd Inc
Stephen Vital Dmd Inc is an health care organization with primary practice located at 3505 E Brown Rd Suite 102, Mesa AZ 85213-5508. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Stephen Vital Dmd Inc can be contacted via phone (480) 924-6169, or through Vital, Stephen J via phone (480) 924-6169.

Contact Information

Primary practice address
3505 E Brown Rd Suite 102 Mesa AZ 85213-5508
Phone: (480) 924-6169
Fax: (480) 924-1077
Website:
Map and Directions
Authorized official contact:
Name: Vital, Stephen J Doctor of Dental Medicine (DMD)
Phone: (480) 924-6169

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 3270 Arizona

Profile Details

NPI number 1619134079
LBN Legal business name Stephen Vital Dmd Inc
DBA Doing business as
Authorized official Vital, Stephen J Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2008
Last updated May 21st, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619134079 NPPES
Arizona Other 3270 STATE OF ARIZONA

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