Sweet Tooth Pediatric Dentistry
LBN: Timothy J. Bashara, Dmd, Plc
Sweet Tooth Pediatric Dentistry is an health care organization with primary practice located at 5656 S. Power Rd. Ste. 118, Gilbert AZ 85295. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty.
Timothy J. Bashara, Dmd, Plc can be contacted via phone (480) 988-1879, or through Bashara, Timothy J via phone (480) 988-1879.
Contact Information
Primary practice address
5656 S. Power Rd. Ste. 118
Gilbert AZ 85295
Phone: (480) 988-1879
Fax: (480) 988-4690
Website:
Authorized official contact:
Name: Bashara, Timothy J Doctor of Dental Medicine (DMD)
Phone: (480) 988-1879
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | D5688 | Arizona |
Profile Details
| NPI number | 1871707836 |
|---|---|
| LBN Legal business name | Timothy J. Bashara, Dmd, Plc |
| DBA Doing business as | Sweet Tooth Pediatric Dentistry |
| Authorized official | Bashara, Timothy J Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 9th, 2007 |
| Last updated | Sep 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871707836 | NPPES |
| Arizona | MEDICAID | 718794 | |
| Arizona | Other | 718794 |
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