Ten Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TEN DENTAL LLC

Practice address

1579 N Dysart Rd
Suite - F
Avondale, AZ 85392-1215

Phone

(623) 536-9942

Fax

(623) 536-7403

NPI assigned

May 8, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Doug Chang, DMD

Title

Owner/Ceo

Phone

(623) 536-9942

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336435200000",
    "number": "1033478334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1579 N DYSART RD",
            "address_2": "SUITE - F",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853921215",
            "telephone_number": "623-536-9942",
            "fax_number": "623-536-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1579 N DYSART RD",
            "address_2": "SUITE - F",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853921215",
            "telephone_number": "623-536-9942",
            "fax_number": "623-536-7403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEN DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-08",
        "last_updated": "2012-05-08",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "623-536-9942",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Avondale, AZ
• Providers in Avondale, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.